Organization
PRESTIGE ASSISTED LIVING AT CLAREMONT
Active
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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