Organization
K.S.I GROUP LLC
Active
Other names
The Mitchell House
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIS HAYNES (OWNER)
(602) 703-9390
Entity
Organization
Contact information
Practice address
15328 W PEAK VIEW RD, SURPRISE, AZ 85387-6905
(602) 703-9390
(888) 475-1999
Mailing address
15328 W PEAK VIEW RD, SURPRISE, AZ 85387-6905
(602) 703-9390
(888) 475-1999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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