Organization
JOHN C. LINCOLN, LLC
Active
Parent organization
JOHN C. LINCOLN, LLC
Other names
dba John C. Lincoln Avista Senior Living North Mountain
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN C. LINCOLN, LLC
Authorized official
NATHAN ANSPACH (SR. VICE PRESIDENT)
(623) 434-6200
Entity
Organization
Contact information
Practice address
350 E EVA ST, PHOENIX, AZ 85020-2564
(602) 544-8541
(602) 544-8543
Mailing address
350 E EVA ST, PHOENIX, AZ 85020-2564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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