Organization
AZ SOOKSTER LLC
Active
Other names
Choices In Community Housing
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INSOOK LEE LANDON RN (OWNER)
(509) 205-5571
Entity
Organization
Contact information
Practice address
7800 N 59TH AVE, GLENDALE, AZ 85301-7861
(509) 205-5571
Mailing address
PO BOX 14814, SCOTTSDALE, AZ 85267-4814
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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