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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
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