Organization
SOL ACOMA ASSISTED LIVING LLC
Active
Organization
SOL ACOMA ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVU JARICHA (ADMINISTRATOR/CO-OWNER)
(623) 313-0827
Entity
Organization
Contact information
Practice address
3437 W ACOMA DR, PHOENIX, AZ 85053-5620
(480) 616-2772
Mailing address
3437 W ACOMA DRIVE, PHOENIX, AZ 85053
(623) 313-0827
(623) 201-6004
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10543H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356869
—
AZ
Enumeration date
02/28/2018
Last updated
01/02/2019
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