Organization
BRIDGEWATER LA CHOLLA OPERATIONS, LLC
Active
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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