Organization
PUREHEARTS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN KOOMSON (CEO)
(719) 232-9102
Entity
Organization
Contact information
Practice address
2550 S REVOLTA, MESA, AZ 85209-6651
(480) 687-3432
Mailing address
4831 S HUDSON PL, CHANDLER, AZ 85249-3165
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
01/31/2023
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