Organization
AUTUMN YEARS CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WESTBROOKS (ADMINISTRATOR)
(480) 899-5306
Entity
Organization
Contact information
Practice address
217 N WASHINGTON ST, CHANDLER, AZ 85225-5514
(480) 899-5306
(480) 855-5193
Mailing address
217 N WASHINGTON ST, CHANDLER, AZ 85225-5514
(480) 899-5306
(480) 855-5193
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC4889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975253
—
AZ
Enumeration date
07/24/2007
Last updated
07/24/2007
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