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Organization

NETWORK FOR INSPIRING CHANGE

Active
Other names
LENAS PLACE CALLED HOME
Organization subpart
No

Provider details

NPI number
Authorized official
SHERKEYRO L THOMPSON ADMINISTRATOR (CHIEF EXECUTIVE OFFICER)
(623) 734-8746
Entity
Organization

Contact information

Practice address
5208 S 12TH WAY, PHOENIX, AZ 85040-3202
(623) 734-8746
Mailing address
5208 S 12TH WAY, PHOENIX, AZ 85040-3202
(623) 734-8746

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
02/09/2016
Last updated
02/09/2016
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