Organization
AC ASSISTED LIVING 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT OVERTON (ADMINISTRATOR ASSIST)
(310) 704-3504
Entity
Organization
Contact information
Practice address
210 E HUNTER DR, GLOBE, AZ 85501-1523
(480) 203-5862
Mailing address
210 E HUNTER DR, GLOBE, AZ 85501-1523
(480) 203-5862
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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