Organization
NETWORK FOR INSPIRING CHANGE
Active
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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