Organization
SOUTHWESTERN MEDICAL CENTERS-AZ, INC.
Active
Other names
Peppertree Assisted Living Apartments
Organization subpart
No
Provider details
NPI number
Authorized official
STAN STUDER JR. (VICE PRESIDENT)
(210) 828-5686
Entity
Organization
Contact information
Practice address
860 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9777
(928) 717-0587
Mailing address
1020 NE LOOP 410, SUITE 640, SAN ANTONIO, TX 78209-1204
(210) 828-5686
(210) 824-4669
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-4785
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500993
ACCESS #
AZ
Enumeration date
10/18/2006
Last updated
08/22/2020
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