Organization
DESERT WILDFLOWER ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN MARIE WINN CARR MD (OWNER/MANAGER)
(503) 740-6693
Entity
Organization
Contact information
Practice address
8207 W NICOLET AVE, GLENDALE, AZ 85303-1822
(623) 252-9506
Mailing address
5252 SW IDAHO ST, PORTLAND, OR 97221-1617
(503) 740-6693
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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