Organization
SUMMERHAVEN ASSISTED LIVING HOME LLC
Active
Organization
SUMMERHAVEN ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROCHELLE J ANDERSON (OWNER/MANAGER)
(602) 621-6337
Entity
Organization
Contact information
Practice address
3118 W T RYAN LN, PHOENIX, AZ 85041-5216
(602) 621-6337
(602) 601-7727
Mailing address
3118 W T RYAN LN, PHOENIX, AZ 85041-5216
(602) 621-6337
(602) 601-7727
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10582F
AZ
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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