Organization
SERENDIPITY IN THE SUN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY MALLARI OMD, MSN, BSN-RN, BA (CLINICAL DIRECTOR/ ALF MANAGER)
(602) 908-8580
Entity
Organization
Contact information
Practice address
6501 E CORRINE DR, SCOTTSDALE, AZ 85254-4560
(480) 761-1778
(480) 350-7733
Mailing address
6501 E CORRINE DR, SCOTTSDALE, AZ 85254-4560
(480) 761-1778
(480) 350-7733
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11590H
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
02/17/2022
Last updated
01/31/2023
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