Organization
NETONE ENTERPRISES, INC.
Active
Other names
Shadow Ridge Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MELCA AZCARRAGA MEDINA RN (MANAGER/OWNER)
(480) 628-5923
Entity
Organization
Contact information
Practice address
1259 E MACAW DR, GILBERT, AZ 85297-4527
(480) 628-5923
Mailing address
3921 E LEO PL, CHANDLER, AZ 85249-5881
(480) 629-8200
(480) 718-7955
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALF6599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALH6599
DEPARTMENT OF HEALTH
AZ
Enumeration date
08/29/2007
Last updated
08/29/2007
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