Organization
JR NENG HERNANDEZ ASSISTED LIVING
Active
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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