Organization
SUNSHINE LEGACY ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KETCHUM (OWNER)
(480) 597-3870
Entity
Organization
Contact information
Practice address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(480) 597-3870
Mailing address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(480) 597-3870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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