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Organization

HIGH DESERT ASSISTED LIVING LLC

Active
Other names
High Desert Assisted Living LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNA J BAKER (OWNER/MANAGER)
(808) 870-2862
Entity
Organization

Contact information

Practice address
1220 N TAPADERO DR, DEWEY, AZ 86327-5830
(928) 277-4836
(928) 237-3203
Mailing address
5640 N BRONCO LN, PRESCOTT VALLEY, AZ 86314-5855
(808) 870-2862

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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