Organization
INGE'S UNIQUELY WARM ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MATTHEW WEAKS MANAGER (MANAGER)
(503) 607-4519
Entity
Organization
Contact information
Practice address
1625 S SULLIVAN LN, CAMP VERDE, AZ 86322-6871
(503) 607-4519
Mailing address
1620 N 25TH PL, PHOENIX, AZ 85008-3515
(503) 607-4519
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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