Organization
DP 87TH PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZCIEL HERNANDEZ (CEO)
(623) 738-6155
Entity
Organization
Contact information
Practice address
4235 N 87TH PL, SCOTTSDALE, AZ 85251-2959
(480) 687-1939
Mailing address
1214 E PALMAIRE AVE, PHOENIX, AZ 85020-5429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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