Organization
SURPRISE LUXURY ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLBURA (OWNER)
(312) 877-2864
Entity
Organization
Contact information
Practice address
11734 N 187TH DR, SURPRISE, AZ 85388-3229
(312) 877-2864
Mailing address
11734 N 187TH DR, SURPRISE, AZ 85388-3229
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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