Organization
ASSISTED LIVING CONCEPTS INC
Active
Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Grayson House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER)
(414) 908-8800
Entity
Organization
Contact information
Practice address
7509 E LONG LOOK DRIVE, PRESCOTT VALLEY, AZ 86314
(928) 772-3690
(972) 755-0334
Mailing address
111 W MICHIGAN STREET, 9TH FLOOR, MILWAUKEE, WI 53203
(414) 908-8800
(414) 908-8212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC 4232
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841181
—
AZ
Enumeration date
04/04/2007
Last updated
08/22/2020
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