Organization
VENTANA WINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELBA WHITE LPN (REGIONAL DIRECTOR)
(623) 583-2460
Entity
Organization
Contact information
Practice address
12322 N 113TH AVE, YOUNGTOWN, AZ 85363-1268
(623) 583-2460
(623) 583-4677
Mailing address
12322 N 113TH AVE, YOUNGTOWN, AZ 85363-1268
(623) 583-2460
(623) 583-4677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8153C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541617
—
AZ
Enumeration date
05/02/2017
Last updated
05/02/2017
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