Organization
VERDANT SENIORS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MA TERESITA PATINO ISIDERIO (PRESIDENT/OWNER)
(602) 818-6700
Entity
Organization
Contact information
Practice address
8207 W NICOLET AVE, GLENDALE, AZ 85303-1822
(602) 818-6700
(602) 715-2257
Mailing address
8207 W NICOLET AVE, GLENDALE, AZ 85303-1822
(602) 818-6700
(602) 715-2257
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL9850H
AZ
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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