Organization
LT ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJIT PAL S. CHAHAL (PRESIDENT)
(602) 859-7540
Entity
Organization
Contact information
Practice address
111 W BLAKE ST, GLOBE, AZ 85501-2177
(602) 859-7540
Mailing address
111 W BLAKE ST, GLOBE, AZ 85501-2177
(310) 704-3504
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6491
ARIZONA DEPT. OF HEALTH SERVICES
AZ
Enumeration date
02/11/2021
Last updated
05/16/2023
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