Organization
RUSTIC RIVER HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN PLEITNER (RN MANAGER)
(480) 244-8457
Entity
Organization
Contact information
Practice address
2124 E FIRESTONE DR, CHANDLER, AZ 85249-4634
(480) 244-8457
(480) 659-1076
Mailing address
2124 E FIRESTONE DR, CHANDLER, AZ 85249-4634
(480) 244-8457
(480) 659-1076
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9097H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
835207
—
AZ
Enumeration date
05/05/2015
Last updated
05/05/2015
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