Organization
CLARE EAGLE NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIE ASU TAKO (MEMBER OF LLC)
(480) 284-9318
Entity
Organization
Contact information
Practice address
11158 W FILMORE ST, AVONDALE, AZ 85323-7911
(480) 284-9318
Mailing address
450 N EUCALYPTUS PL, CHANDLER, AZ 85225-8257
(480) 284-9318
(480) 304-3129
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
AZ
Other
Enumeration date
06/23/2014
Last updated
07/21/2022
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