Organization
PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STITELER (OWNER/MANAGER)
(602) 944-1177
Entity
Organization
Contact information
Practice address
4211 N PEBBLE CREEK PKWY, BLDG 5, GOODYEAR, AZ 85395-9016
(602) 633-2300
(623) 594-9164
Mailing address
4211 N PEBBLE CREEK PKWY, BLDG 5, GOODYEAR, AZ 85395-9016
(602) 633-2300
(623) 594-9164
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9809H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064713
—
AZ
Enumeration date
11/18/2015
Last updated
11/18/2015
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