Organization
SOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC
Active
Organization
SOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC
Active
Other names
Bridgewater Assisted Living - Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGE G DURAN (VICE PRESIDENT OF FINANCE)
(602) 544-3195
Entity
Organization
Contact information
Practice address
4000 N 3RD AVENUE, PHOENIX, AZ 85013
(480) 653-9500
Mailing address
14650 N 78TH WAY, BLDG B, SCOTTSDALE, AZ 85260
(602) 544-3195
(602) 533-7574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10641C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367767
—
AZ
01
—
AL10641C
AZ DEPT HEALTH SVCS
AZ
Enumeration date
04/18/2018
Last updated
04/18/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up