Organization
FISHER FAMILY HOME LLC
Active
Other names
Fisher Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON COLEMAN (OWNER)
(480) 282-3043
Entity
Organization
Contact information
Practice address
2927 W REDFIELD RD, PHOENIX, AZ 85053-7712
(602) 548-1410
(602) 942-6530
Mailing address
2927 W REDFIELD RD, PHOENIX, AZ 85053-7712
(602) 548-1410
(602) 942-6530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A14420508
—
AZ
Enumeration date
10/16/2020
Last updated
10/16/2020
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