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Organization

ENROSE ESTATES ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGUERITE B. BRANNIGAN RN,CHPN (OWNER/MANAGER)
(480) 615-3339
Entity
Organization

Contact information

Practice address
2509 E ENROSE ST, MESA, AZ 85213-6042
(480) 612-3339
Mailing address
2509 E. ENROSE STREET, MESA, AZ 85213
(480) 612-3339

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AHA-6073
AZ

Other

Enumeration date
02/20/2008
Last updated
02/20/2008
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