Organization
PLATINUM ASSISTED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENEEN MARIE DE VRIES PT, MBA (OWNER)
(623) 221-1544
Entity
Organization
Contact information
Practice address
3755 E MENLO ST, MESA, AZ 85215-1717
(623) 221-1544
(623) 334-3289
Mailing address
7041 W WILLOW AVE, PEORIA, AZ 85381-5084
(623) 221-1544
(623) 334-3289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH - 5208
AZ
Other
Enumeration date
06/10/2007
Last updated
01/17/2009
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