Organization
DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE
Active
Parent organization
DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
Authorized official
JULIE ANNA HENDERSHOTT RN (CLINICAL DIRECTOR)
(480) 524-3422
Entity
Organization
Contact information
Practice address
4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
(623) 934-0094
(480) 247-5288
Mailing address
4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
(623) 934-0094
(480) 247-5288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RN153739
AZ
104100000X
Social Worker
RN153739
AZ
163W00000X
Registered Nurse
RN153739
AZ
163WA2000X
Administrator Registered Nurse
RN153739
AZ
163WC0400X
Case Management Registered Nurse
RN153739
AZ
163WG0000X
General Practice Registered Nurse
Primary
RN153739
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN153739
AZ
163WW0000X
Wound Care Registered Nurse
RN153739
AZ
164W00000X
Licensed Practical Nurse
RN153739
AZ
313M00000X
Nursing Facility/Intermediate Care Facility
RN153739
AZ
3747P1801X
Personal Care Attendant
RN153739
AZ
376K00000X
Nurse's Aide
RN153739
AZ
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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