Organization
ARIZONA COMMUNITY ASSISTED LIVING HOME, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA CAGLE (OWNER)
(480) 202-0461
Entity
Organization
Contact information
Practice address
9952 E BUTTE ST, MESA, AZ 85207-8016
(480) 232-4641
(480) 232-4647
Mailing address
424 N MOUNTAIN RD, MESA, AZ 85207-2301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10410H
AZ
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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