Organization
HORIZON CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA GRACE CORAZON JUACHON FERNANDEZ (ADMINISTRATOR)
(602) 710-8782
Entity
Organization
Contact information
Practice address
10802 N. 57TH DR, GLENDALE, AZ 85304-3867
(623) 547-6699
(623) 792-5698
Mailing address
10802 N 57TH DR, GLENDALE, AZ 85304-3864
(623) 547-6699
(623) 792-5698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8501H
AZ
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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