Organization
BIG HEART ASSISTED LIVING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA PREDA (OWNER/MANAGER)
(602) 760-9677
Entity
Organization
Contact information
Practice address
15421 N 177TH DR, SURPRISE, AZ 85388-3100
(602) 760-9677
(623) 594-4858
Mailing address
15421 N 177TH DR, SURPRISE, AZ 85388-3100
(602) 760-9677
(623) 594-4858
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9881H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112025
—
AZ
Enumeration date
06/28/2016
Last updated
06/28/2016
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