Organization
AVONDALE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY A SKOUSEN (OWNER)
(602) 317-0107
Entity
Organization
Contact information
Practice address
2302 S 113TH AVE, AVONDALE, AZ 85323-9179
(623) 236-9800
(623) 236-8614
Mailing address
2302 S. 113TH AVE, AVONDALE, AZ 85323
(623) 236-9800
(623) 236-8614
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9403H
AZ
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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