Organization
PEORIA VISTA CARE LLC
Active
Other names
Peoria Vista Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVAN POLUS (OWNER)
(602) 481-8746
Entity
Organization
Contact information
Practice address
10430 W ROYAL PALM RD, PEORIA, AZ 85345-7537
(623) 440-5391
Mailing address
10430 W ROYAL PALM RD, PEORIA, AZ 85345-7537
(623) 440-5391
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
06/21/2024
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