Organization
JR NENG HERNANDEZ ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENCARNACION ESPINOZA HERNANDEZ JR. (OWNER)
(520) 582-4978
Entity
Organization
Contact information
Practice address
11528 W MADERO DR, ARIZONA CITY, AZ 85123
(520) 582-4978
Mailing address
PO BOX 3077, ARIZONA CITY, AZ 85123-0857
(520) 582-4978
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
Other
Enumeration date
02/14/2012
Last updated
08/06/2012
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