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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