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Organization

TWILIGHT HAVEN III

Active
Parent organization
TWILIGHT HAVEN - ASSISTED LIVING HOME
Organization subpart
Yes

Provider details

NPI number
Legal business name
TWILIGHT HAVEN - ASSISTED LIVING HOME
Authorized official
MRS. JUSTYNA J CHATKOWSKI (CAREGIVER)
(602) 819-4951
Entity
Organization

Contact information

Practice address
233 S. 123RD DR., AVONDALE, AZ 85323-8043
(623) 234-4034
(623) 234-4525
Mailing address
233 S. 123RD DR., AVONDALE, AZ 85323-8043
(623) 234-4034
(623) 234-4525

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
AL85714
AZ

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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