Organization
ARMS OF LOVE ASSISTED LIVING HOME LLC
Active
Parent organization
AL10575
Other names
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
AL10575
Authorized official
MISS GLADYS N/A KWAMBOKA MD (ADMISTRATOR)
(480) 329-0820
Entity
Organization
Contact information
Practice address
6086 S PEARL DRIVE, CHANDLER, AZ 85249
(480) 329-0820
(480) 410-6757
Mailing address
6086 S PEARL DR, CHANDLER, AZ 85249-7090
(480) 329-0820
(480) 410-6757
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06903789
—
AZ
Enumeration date
02/12/2018
Last updated
02/12/2018
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