Organization
ASSISTED LIFESTYLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT C BOYD (CEO)
(928) 326-0044
Entity
Organization
Contact information
Practice address
4385 E WILD ELK TRL, FLAGSTAFF, AZ 86004-7921
(928) 326-0044
Mailing address
4385 E WILD ELK TRL, FLAGSTAFF, AZ 86004-7921
(928) 326-0044
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
AZ
347C00000X
Private Vehicle
—
AZ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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