Organization
SHEA MANOR ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALINA ARDELEAN RN (MANAGER)
(773) 818-4093
Entity
Organization
Contact information
Practice address
10433 N 43RD ST, PHOENIX, AZ 85028-4110
(773) 818-4093
(480) 603-1815
Mailing address
10433 N 43RD ST, PHOENIX, AZ 85028-4110
(773) 818-4093
(480) 603-1815
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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