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Organization

CACTUS ADULT CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MALISSA POSYANANDA (ASSISTED LIVING FACILITY MANAGER)
(602) 595-3530
Entity
Organization

Contact information

Practice address
2323 E LARKSPUR DR, PHOENIX, AZ 85022-5845
(602) 595-3530
(602) 595-3530
Mailing address
2323 E LARKSPUR DR, PHOENIX, AZ 85022-5845
(602) 595-3530
(602) 595-3530

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
09492
AZ

Other

Enumeration date
12/19/2007
Last updated
02/15/2008
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