Organization
DESERT AMETHYST RETIREMENT LLC
Active
Other names
Amethyst Gardent
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
18170 N 91ST AVENUE, PEORIA, AZ 85382-0866
(623) 974-5848
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 375-9016
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC4691
AZ
Other
Enumeration date
03/31/2007
Last updated
06/20/2008
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