Organization
PREMIER GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA CRUZ (PRESIDENT)
(480) 465-2944
Entity
Organization
Contact information
Practice address
11003 W ALVARADO RD, AVONDALE, AZ 85392-5466
(480) 465-2944
Mailing address
11003 W ALVARADO RD, AVONDALE, AZ 85392-5466
(480) 465-2944
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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