Organization
DPAC HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN GONZVAR (MANAGING MEMBER)
(602) 943-4842
Entity
Organization
Contact information
Practice address
7022 N 10TH PL, PHOENIX, AZ 85020-5307
(602) 943-4842
Mailing address
1214 E PALMAIRE AVE, PHOENIX, AZ 85020-5429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323169
—
AZ
Enumeration date
02/01/2019
Last updated
02/01/2019
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