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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