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
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