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Organization

NEW WAY ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY MARIE FLOOD (SOLE MEMBER)
(602) 708-4556
Entity
Organization

Contact information

Practice address
2109 W WESTERN DR, CHANDLER, AZ 85224-1150
(602) 708-4556
(480) 452-0207
Mailing address
2109 W WESTERN DR, CHANDLER, AZ 85224-1150
(602) 708-4556
(480) 452-0207

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121944
AHCCS
AZ
Enumeration date
06/02/2016
Last updated
06/02/2016
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