Organization
PEORIA VISTA CARE LLC
Active
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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