Organization
A TENDER HAND ASSISTED LIVING HOME, LLC, DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATANYA KING MAED LISAC (CEO/PRESIDENT)
(602) 488-0135
Entity
Organization
Contact information
Practice address
6216 S 36TH ST, PHOENIX, AZ 85042-4904
(602) 488-0135
(602) 314-6073
Mailing address
6216 S 36TH ST, PHOENIX, AZ 85042-4904
(602) 488-0135
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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