Organization
PREMIER ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE BLAIR (MANAGING MEMBER)
(602) 410-8698
Entity
Organization
Contact information
Practice address
1544 W LAS PALMARITAS DR, PHOENIX, AZ 85021-5429
(602) 410-8698
(602) 954-0639
Mailing address
1544 W LAS PALMARITAS DR, PHOENIX, AZ 85021-5429
(602) 410-8698
(602) 954-0639
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7663H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680324
—
AZ
Enumeration date
01/17/2017
Last updated
01/17/2017
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