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Organization

SUNNYSIDE ASSISTED LIVING HOME LLC/SUNNYSIDE ASSISTED LIVING HOME LLC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESPRANCE MAPENDO (OWNER)
(949) 630-1715
Entity
Organization

Contact information

Practice address
18006 N 6TH DR, PHOENIX, AZ 85023-6489
(602) 626-8257
(602) 688-5424
Mailing address
18006 N 6TH DR, PHOENIX, AZ 85023-6489
(602) 626-8257
(602) 688-5424

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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