Organization
VALLEY RESPITE AND HOME CARE LLC
Active
Other names
Siara Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA SIARA (MANAGER / STATUTORY AGENT)
(520) 759-7072
Entity
Organization
Contact information
Practice address
9407 E ALFALFA DR, FLORENCE, AZ 85132-7352
(520) 759-7072
(520) 759-7475
Mailing address
4884 E IOLITE ST, SAN TAN VALLEY, AZ 85143-6359
(520) 759-7072
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122110
—
AZ
Enumeration date
03/16/2022
Last updated
06/13/2024
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