Organization
ROSE ARBOR RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ELIZABETH REILY (OWNER)
(928) 380-8773
Entity
Organization
Contact information
Practice address
3440 S GILLENWATER DR, FLAGSTAFF, AZ 86001-8516
(928) 380-8773
(928) 266-0607
Mailing address
3440 S GILLENWATER DR, FLAGSTAFF, AZ 86001-8516
(928) 380-8773
(928) 266-0607
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH 6870
AZ
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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