Organization
CIRCLE OF LIFE ALZHEIMER'S HOMES
Active
Organization
CIRCLE OF LIFE ALZHEIMER'S HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ELAINE WIELECHOWSKI (OWNER)
(928) 237-4795
Entity
Organization
Contact information
Practice address
778 CROWN RIDGE RD, SEDONA, AZ 86351-6304
(928) 862-2287
(928) 862-2418
Mailing address
778 CROWN RIDGE RD, SEDONA, AZ 86351-6304
(928) 862-2287
(928) 862-2418
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AL9678H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410538
AHCCCS
AZ
Enumeration date
04/13/2018
Last updated
11/12/2018
Update your record
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