Organization
VVV ADULT CARE
Active
Organization
VVV ADULT CARE
Active
Parent organization
EMILY'S PLACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMILY'S PLACE
Authorized official
MR. JUSTION GARRET (OWNER)
(480) 907-6012
Entity
Organization
Contact information
Practice address
7116 E MEDINA AVE, MESA, AZ 85209-4826
(480) 907-6012
(480) 588-5012
Mailing address
7116 E MEDINA AVE, MESA, AZ 85209-4826
(480) 907-6012
(480) 588-5012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6800H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224861
—
AZ
Enumeration date
02/21/2011
Last updated
02/21/2011
Update your record
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