Organization
DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANNA HENDERSHOTT R.N. (PARTNER/ADMINISTRATOR/MANAGER)
(480) 658-6920
Entity
Organization
Contact information
Practice address
4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
(623) 934-0094
(480) 247-5288
Mailing address
4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
(623) 934-0094
(480) 247-5288
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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