Organization
LIFESTREAM COMPLETE SENIOR LIVING INC
Active
Organization
LIFESTREAM COMPLETE SENIOR LIVING INC
Active
Other names
LifeStream at Youngtown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ESTES (CHIEF FINANCIAL OFFICER)
(623) 933-3333
Entity
Organization
Contact information
Practice address
11527 W PEORIA AVE, YOUNGTOWN, AZ 85363-1640
(623) 933-4683
(623) 972-4993
Mailing address
11527 W PEORIA AVE, YOUNGTOWN, AZ 85363-1640
(623) 933-4683
(623) 972-4993
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC4381
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493996
—
AZ
Enumeration date
03/12/2010
Last updated
05/21/2013
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