Organization
AZ SOOKSTER LLC
Active
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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