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
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