Organization
PRESTIGE ASSISTED LIVING AT CLAREMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA ANN ROACH (ADMINISTRATIVE ASSISTANT)
(928) 855-4843
Entity
Organization
Contact information
Practice address
1221 CLAREMONT DR, LAKE HAVASU CITY, AZ 86406-8684
(928) 855-4843
(928) 855-2987
Mailing address
1221 CLAREMONT DR, LAKE HAVASU CITY, AZ 86406-8684
(928) 855-4843
(928) 855-2987
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
07-00003187
AZ
Other
Enumeration date
02/23/2007
Last updated
07/07/2008
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