Organization
GLYNNIS LLC
Active
Other names
Glynnis Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORISTEEN G HARRAWAY RN (DIRECTOR)
(623) 694-8075
Entity
Organization
Contact information
Practice address
4216 N 100TH AVE, PHOENIX, AZ 85037-5914
(623) 694-8075
(623) 321-1381
Mailing address
4725 N 103RD DR, PHOENIX, AZ 85037-5023
(623) 694-8075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
Other
Enumeration date
04/08/2009
Last updated
08/15/2011
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