Organization
SUPERSTITION MANOR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BOGUCKI (OWNER/MEMBER)
(480) 227-3458
Entity
Organization
Contact information
Practice address
201 W 20TH AVE, APACHE JUNCTION, AZ 85120-7532
(480) 227-3458
Mailing address
201 W 20TH AVE, APACHE JUNCTION, AZ 85120-7532
(480) 227-3458
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
About Stedi
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