Organization
SOLTERRA AT WHITE MOUNTAINS, LLC
Active
Other names
Solterra at White Mountains
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA JAMES (ADMINISTRATOR)
(928) 532-4600
Entity
Organization
Contact information
Practice address
5408 ARIZONA HIGHWAY 260, LAKESIDE, AZ 85929
(928) 532-4600
Mailing address
5408 ARIZONA HIGHWAY 260, LAKESIDE, AZ 85929
(928) 532-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC6571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
AZ
Enumeration date
04/17/2008
Last updated
04/17/2008
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