Organization
TP DEER VALLEY OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JORGENSON (MANAGING MEMBER)
(602) 315-7644
Entity
Organization
Contact information
Practice address
2641 W UNION HILLS DR., PHOENIX, AZ 85027
(602) 603-7480
(602) 603-7485
Mailing address
14650 N 78TH WAY, BLDG B, SCOTTSDALE, AZ 85260
(602) 544-3195
(602) 553-7574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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