Organization
ESTANCIA ASSISTED LIVING AT AVOCA PLACE, LLC
Active
Organization
ESTANCIA ASSISTED LIVING AT AVOCA PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN GODFREY (COO)
(480) 561-5590
Entity
Organization
Contact information
Practice address
2237 N AVOCA, MESA, AZ 85207-2028
(480) 561-5590
(409) 908-4682
Mailing address
16543 E ELGIN ST, GILBERT, AZ 85295-2003
(480) 561-5590
(409) 908-4682
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177782
—
AZ
Enumeration date
05/23/2025
Last updated
05/23/2025
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