Organization
PAYSON'S OPEN DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARIE MILES RN (OWNER/MANAGER)
(928) 474-2096
Entity
Organization
Contact information
Practice address
1008 S BUTTE CREST CIR, PAYSON, AZ 85541-5603
(928) 474-2096
Mailing address
1008 S BUTTE CREST CIR, PAYSON, AZ 85541-5603
(928) 474-2096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8465H
AZ
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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