Organization
DESERT SPRINGS CARE HOME L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODICA MERTIC (OWNER/CAREGIVER)
(602) 403-3624
Entity
Organization
Contact information
Practice address
3445 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 439-2734
(602) 843-1475
Mailing address
3445 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 439-2734
(602) 843-1475
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117
—
AZ
Enumeration date
11/17/2017
Last updated
11/17/2017
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