Organization
PACIFICA SL SCOTTSDALE LLC
Active
Organization
PACIFICA SL SCOTTSDALE LLC
Active
Other names
Scottsdale Village Square
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (MANAGING PARTNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
2620 N. 68TH STREET, SCOTTSDALE, AZ 85257
(480) 946-6571
(480) 946-0028
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10612C
AZ
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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