Organization
IMPERIAL PALACE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN JASPER (OWNER-MANAGER)
(480) 395-3331
Entity
Organization
Contact information
Practice address
17225 W GAMBIT TRL, SURPRISE, AZ 85387-1128
(480) 395-3331
(480) 800-6510
Mailing address
17225 W GAMBIT TRL, SURPRISE, AZ 85387-1128
(480) 395-3331
(480) 800-6510
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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