Organization
GREENFIELDS ASSISTED LIVING LLC
Active
Other names
Greenfield Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GURRIERI (EXECUTIVE DIRECTOR)
(480) 649-3911
Entity
Organization
Contact information
Practice address
723 E SECOND AVE, MESA, AZ 85204-1039
(480) 649-3911
(480) 649-1330
Mailing address
723 E SECOND AVE, MESA, AZ 85204-1039
(480) 649-3911
(480) 649-1330
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-4320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797061
—
AZ
Enumeration date
09/21/2005
Last updated
08/22/2020
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