Organization
YUMA HOSPITALITY LLC
Active
Organization
YUMA HOSPITALITY LLC
Active
Other names
River's Edge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CARIE MOJICA (EXECUTIVE DIRECTOR)
(928) 276-9057
Entity
Organization
Contact information
Practice address
2050 S 4TH AVE, YUMA, AZ 85364-6401
(928) 276-9057
Mailing address
2050 S 4TH AVE, YUMA, AZ 85364-6401
(928) 276-9057
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573877
—
AZ
Enumeration date
12/30/2019
Last updated
12/30/2019
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