Organization
ALPHA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANTIN GRUIA (OWNER)
(602) 705-4430
Entity
Organization
Contact information
Practice address
18802 N 38TH ST, PHOENIX, AZ 85050-2617
(602) 705-4430
Mailing address
18802 N 38TH ST, PHOENIX, AZ 85050-2617
(602) 705-4430
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8742H
AZ
Other
Enumeration date
08/30/2018
Last updated
10/15/2020
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