Organization
JAYLEE INC
Active
Other names
casa del sol
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LEE GARRETT (PRESIDENT)
(480) 703-0329
Entity
Organization
Contact information
Practice address
544 W NIDO AVE, MESA, AZ 85210-7572
(480) 703-0329
Mailing address
544 W NIDO AVE, MESA, AZ 85210-7572
(480) 703-0329
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL6087H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096035
AHCCCS NUMBER
AZ
Enumeration date
06/29/2011
Last updated
06/29/2011
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