Organization
LEISURE TIMES HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA NESTEANU (ADMINISTRATOR)
(623) 215-2816
Entity
Organization
Contact information
Practice address
11678 W YUCCA CT, SURPRISE, AZ 85378-2518
(623) 215-2816
Mailing address
11678 W YUCCA CT, SURPRISE, AZ 85378-2518
(623) 215-2816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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