Organization
THE PINES AT PRESCOTT VALLEY LLC
Active
Organization
THE PINES AT PRESCOTT VALLEY LLC
Active
Other names
Ativo Senior Living Prescott Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ZIEBART N/A (MANAGING MEMBER)
(503) 363-4636
Entity
Organization
Contact information
Practice address
3951 N VIEWPOINT DR, PRESCOTT VALLEY, AZ 86314-2689
(928) 888-6246
Mailing address
1900 HINES ST SE STE 190, SALEM, OR 97302-1356
(201) 401-9353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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