Organization
GENTLE CARE ASSISTED LIVING HOME
Active
Organization
GENTLE CARE ASSISTED LIVING HOME
Active
Parent organization
MARIA R. NATIVIDAD,INC.
Other names
Regal Manor Assisted Living Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIA R. NATIVIDAD,INC.
Authorized official
MS. MARIA RONDILLA NATIVIDAD (OWNER/LICENSEE)
(602) 295-9214
Entity
Organization
Contact information
Practice address
643 E LA COSTA DR, CHANDLER, AZ 85249-6943
(602) 295-9214
(480) 219-1607
Mailing address
643 E LA COSTA DR, CHANDLER, AZ 85249-6943
(602) 295-9214
(480) 219-1607
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AL6888H
AZ
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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