Organization
HK KASIO LLC
Active
Parent organization
RHODA'S ASSISTED LIVING HOME
Other names
Rhoda's Assisted living home
Organization subpart
Yes
Provider details
NPI number
Legal business name
RHODA'S ASSISTED LIVING HOME
Authorized official
HUSNUL KHOIRODAH BOCCHINO (OWNER)
(602) 487-6389
Entity
Organization
Contact information
Practice address
12002 W SHERIDAN ST, AVONDALE, AZ 85392-3078
(602) 487-6389
(602) 997-3205
Mailing address
12002 W SHERIDAN ST, AVONDALE, AZ 85392-3078
(602) 487-6389
(602) 997-3205
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL9839H
AZ
Other
Enumeration date
04/30/2016
Last updated
04/30/2016
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