Organization
ASSISTED SENIOR LIVING CARE, LLC
Active
Organization
ASSISTED SENIOR LIVING CARE, LLC
Active
Other names
Assisted Senior Living Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISA RIADI (DIRECTOR)
(219) 985-4433
Entity
Organization
Contact information
Practice address
4149 E GREENWAY CIR, MESA, AZ 85205-4036
(708) 237-9000
(708) 237-1577
Mailing address
8550 S HARLEM AVE STE G, BRIDGEVIEW, IL 60455-1775
(219) 985-4433
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473072
—
AZ
05
—
473403
—
AZ
Enumeration date
02/20/2019
Last updated
02/20/2019
Update your record
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