Organization
GIBSON LANE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSA SEBATU (CEO)
(602) 384-8495
Entity
Organization
Contact information
Practice address
8011 W GIBSON LN, PHOENIX, AZ 85043-7484
(602) 384-8495
Mailing address
8011 W GIBSON LN, PHOENIX, AZ 85043-7484
(602) 384-8495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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