Organization
PALM VIEW ASSISTED LIVING, LLC.
Active
Organization
PALM VIEW ASSISTED LIVING, LLC.
Active
Other names
Palm View
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NOWELL (OWNER, EXECUTIVE DIRECTOR)
(520) 571-8120
Entity
Organization
Contact information
Practice address
11650 E SPEEDWAY BLVD, TUCSON, AZ 85748-2016
(520) 722-9223
(520) 721-9379
Mailing address
11650 E SPEEDWAY BLVD, TUCSON, AZ 85748-2016
(520) 722-9223
(520) 721-9379
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
07646057
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912312
AHCCCS PROVIDER ID
AZ
Enumeration date
01/08/2009
Last updated
01/08/2009
Update your record
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