Organization
BRIDGEWATER LA CHOLLA OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI ROYTER (VICE PRESIDENT OF OPERATIONS)
(602) 544-3195
Entity
Organization
Contact information
Practice address
6505 N LA CHOLLA BLVD, TUCSON, AZ 85741-3143
(520) 742-3554
(520) 742-3094
Mailing address
14650 N 78TH WAY STE B, SCOTTSDALE, AZ 85260-2970
(602) 544-3195
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11318C
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
05/15/2020
Last updated
05/15/2020
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