Organization
ABOUT SENIORS ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISA KAPORALIS (MANAGER/MEMBER)
(602) 339-3617
Entity
Organization
Contact information
Practice address
17343 W BAJADA DR, SURPRISE, AZ 85387-1002
(602) 339-3617
Mailing address
17343 W BAJADA DR, SURPRISE, AZ 85387-1002
(602) 339-3617
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 9389
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL9389
HEALTH DEPARTMENT
AZ
Enumeration date
10/11/2014
Last updated
10/11/2014
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