Organization
SLO ENCANTO PALMS LLC
Active
Organization
SLO ENCANTO PALMS LLC
Active
Other names
Encanto Palms Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KROHN (EXECUTIVE DIRECTOR)
(602) 352-0000
Entity
Organization
Contact information
Practice address
3901 W ENCANTO BLVD, PHOENIX, AZ 85009-1241
(602) 352-0000
(602) 272-6533
Mailing address
3901 W ENCANTO BLVD, PHOENIX, AZ 85009-1241
(602) 352-0000
(602) 272-6533
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC4911
AZ
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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