Organization
PALM VALLEY SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROMEGA THOMPSON (ADMINISTRATOR)
(480) 263-0015
Entity
Organization
Contact information
Practice address
13616 W ROANOKE AVE, GOODYEAR, AZ 85395-2236
(623) 259-9431
Mailing address
13616 W ROANOKE AVE, GOODYEAR, AZ 85395-2236
(623) 259-9431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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