Organization
BULLHEAD CITY SENIOR LIVING, LLC
Active
Other names
Joshua Springs Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRESHWATER (AUTHORIZED OFFICIAL)
(520) 797-4000
Entity
Organization
Contact information
Practice address
2995 DESERT SKY BLVD, BULLHEAD CITY, AZ 86442-8855
(928) 255-1519
Mailing address
2020 W RUDASILL RD, TUCSON, AZ 85704-7800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL9873C
—
AZ
Enumeration date
01/16/2019
Last updated
01/19/2023
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