Organization
HOLY NAME ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELY TANGLAO (OWNER)
(480) 912-5388
Entity
Organization
Contact information
Practice address
112 S NEBRASKA ST, CHANDLER, AZ 85225-9561
(480) 912-5388
Mailing address
112 S NEBRASKA ST, CHANDLER, AZ 85225-9561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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