Organization
AVISTA SENIOR LIVING DESERT SPRINGS, LLC
Active
Organization
AVISTA SENIOR LIVING DESERT SPRINGS, LLC
Active
Other names
Avista Senior Living North Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FINE (AUTHORIZED AGENT)
(480) 244-9173
Entity
Organization
Contact information
Practice address
350 E EVA ST, PHOENIX, AZ 85020-2564
(602) 997-6224
(602) 944-4199
Mailing address
350 E EVA ST, PHOENIX, AZ 85020-2564
(602) 997-6224
(602) 944-4199
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8638C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677385
—
AZ
Enumeration date
06/13/2018
Last updated
06/13/2018
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