Organization
JOLLEY FAMILY ASSISTED LIVING HOME II
Active
Other names
Sharon Duncan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LENORE DUNCAN (CO-OWNER)
(623) 872-0032
Entity
Organization
Contact information
Practice address
5042 N 86TH DR, GLENDALE, AZ 85305-3313
(623) 872-0032
(623) 872-0033
Mailing address
5042 N 86TH DR, GLENDALE, AZ 85305-3313
(623) 872-0032
(623) 872-0033
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-4290
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788812
—
AZ
Enumeration date
05/30/2007
Last updated
08/22/2020
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