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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