Organization
ST CHARLES PLACE
Active
Parent organization
ST CHARLES PLACE
Other names
st charles place III
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CHARLES PLACE
Authorized official
JAMES WILLIAMS MSW (MANAGER/OWNER)
(602) 276-0084
Entity
Organization
Contact information
Practice address
6818 S 16TH PL, PHOENIX, AZ 85042-5714
(602) 276-0084
(602) 595-9969
Mailing address
6818 S 16TH PL, PHOENIX, AZ 85042-5714
(602) 276-0084
(602) 595-9969
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 8954H
AZ
310400000X
Assisted Living Facility
AL3064H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426933
—
AZ
Enumeration date
07/13/2015
Last updated
07/13/2015
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