Organization
PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STITELER (OWNER)
(602) 944-1177
Entity
Organization
Contact information
Practice address
4211 N PEBBLE CREEK PKWY, BLDG 6, GOODYEAR, AZ 85395-9016
(602) 633-2300
Mailing address
4211 N PEBBLE CREEK PKWY, BLDG 6, GOODYEAR, AZ 85395-9016
(602) 633-2300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9932H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134021
—
AZ
Enumeration date
08/18/2016
Last updated
08/18/2016
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