Organization
JOLEX @ OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES SANTOS (MANAGER)
(480) 239-7341
Entity
Organization
Contact information
Practice address
2216 W OBISPO AVE, MESA, AZ 85202-7909
(480) 239-7341
Mailing address
2216 W OBISPO AVE, MESA, AZ 85202-7909
(480) 239-7341
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH 435
AZ
Other
Enumeration date
05/31/2007
Last updated
06/16/2008
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