Organization
A GOLDEN RETREAT CARE HOME, LLC
Active
Organization
A GOLDEN RETREAT CARE HOME, LLC
Active
Other names
A Golden Retreat Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K STUTSMAN (MEMBER)
(623) 297-4925
Entity
Organization
Contact information
Practice address
18330 W MARCONI AVE, SURPRISE, AZ 85388-2358
(623) 297-4925
(623) 399-1152
Mailing address
8974 W RUTH AVE, PEORIA, AZ 85345-7978
(623) 297-4925
(623) 399-1152
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10702H
AZ
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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