Individual
ANDRE POLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7886 W PIUTE AVE, GLENDALE, AZ 85308-6167
(818) 397-0863
(623) 388-6704
Mailing address
7886 W PIUTE AVE, GLENDALE, AZ 85308-6167
(818) 397-0863
(623) 388-6704
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10052H
AZ
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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