Organization
WHITESTONE ADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM ZIMMERMAN (EXECUTIVE DIRECTOR)
(480) 924-4073
Entity
Organization
Contact information
Practice address
5037 E BROADWAY RD, MESA, AZ 85206-1301
(480) 924-4073
(480) 396-0191
Mailing address
5037 E BROADWAY RD, MESA, AZ 85206-1301
(480) 924-4073
(480) 396-0191
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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