Organization
AC ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DIKE (PRESIDENT)
(480) 203-5862
Entity
Organization
Contact information
Practice address
320 E OAK ST, GLOBE, AZ 85501-2145
(480) 203-5862
Mailing address
320 E OAK ST, GLOBE, AZ 85501-2145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL11076H
—
AZ
Enumeration date
04/25/2019
Last updated
04/25/2019
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