Organization
ALL CARE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIPRIAN NEICULESCU (OWNER)
(623) 866-2900
Entity
Organization
Contact information
Practice address
18224 N 168TH AVE, SURPRISE, AZ 85374-6868
(602) 696-6062
Mailing address
18224 N 168TH AVE, SURPRISE, AZ 85374-6868
(602) 696-6062
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217319
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
03/25/2021
Last updated
03/25/2021
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