Organization
LSREF GOLDEN OPS 26 (AZ), LLC
Active
Other names
Garnet at Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
MARC LIPSHY (PRESIDENT)
(858) 436-7662
Entity
Organization
Contact information
Practice address
510 E 8TH ST, CASA GRANDE, AZ 85222-4072
(520) 876-4200
Mailing address
500 STEVENS AVE, SUITE 100, SOLANA BEACH, CA 92075-2055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-6938
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817067
—
AZ
Enumeration date
05/08/2009
Last updated
05/08/2009
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