Organization
TANG ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE TANG (OWNER/ADMINISTRATOR)
(480) 240-0278
Entity
Organization
Contact information
Practice address
4113 W HAYWARD AVE, PHOENIX, AZ 85051-5751
(480) 240-0278
(480) 838-9668
Mailing address
420 E TULANE DR, TEMPE, AZ 85283-1925
(480) 240-0278
(480) 838-9668
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10146H
AZ
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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