Organization
MAJESTIC VILLA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CARR MD (OWNER)
(503) 740-6693
Entity
Organization
Contact information
Practice address
8236 N 57TH DR, GLENDALE, AZ 85302-5906
(623) 594-7904
(623) 691-7975
Mailing address
5252 SW IDAHO ST, PORTLAND, OR 97221-1617
(503) 740-6693
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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