Organization
SUPERVISED SENIORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIE MARIE LONG (OWNER)
(623) 387-2123
Entity
Organization
Contact information
Practice address
450 S ACACIA AVE UNIT 2099, MESA, AZ 85204
(480) 878-1466
Mailing address
13802 N SCOTTSDALE RD # 151-13, SCOTTSDALE, AZ 85254-3458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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