Organization
EAGLE PASS SENIOR LIVING LLC
Active
Organization
EAGLE PASS SENIOR LIVING LLC
Active
Other names
AMARSI ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 915-5720
(623) 931-8776
Mailing address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 915-5720
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
01/23/2020
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