Organization
STEVENS ASISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA ANN STEVENS (OWNER)
(928) 453-2282
Entity
Organization
Contact information
Practice address
871 THUNDERBOLT AVE, LAKE HAVASU CITY, AZ 86406-7803
(928) 453-2282
Mailing address
871 THUNDERBOLT AVE, LAKE HAVASU CITY, AZ 86406-7803
(928) 453-2282
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1400030820
AZ
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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