Organization
LIFESTREAM COMPLETE SENIOR LIVING, INC.
Active
Other names
LifeStream at Youngtown Green House 3
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TAYLOR (EXECUTIVE VICE PRESIDENT/COO)
(623) 933-3333
Entity
Organization
Contact information
Practice address
11521 W. PEORIA AVENUE, YOUNGTOWN, AZ 85363
(623) 972-2371
(623) 972-7320
Mailing address
11555 W. PEORIA AVENUE, YOUNGTOWN, AZ 85363
(623) 933-3333
(623) 972-7320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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