Organization
GARCIA'S ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANALYN M GARCIA (OWNER)
(480) 612-2569
Entity
Organization
Contact information
Practice address
2742 E PUEBLO AVENUE, PHOENIX, AZ 85040
(480) 612-2569
(602) 687-9118
Mailing address
2742 E. PUEBLO AVE., PHOENIX, AZ 85040
(480) 612-2569
(602) 687-9118
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL9638H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016494
—
AZ
Enumeration date
11/19/2015
Last updated
11/19/2015
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