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Organization

COCO'S ASSISTED LIVING HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON COLEMAN (OWNER)
(602) 212-0809
Entity
Organization

Contact information

Practice address
3231 W THUNDERBIRD RD, PHOENIX, AZ 85053-5605
(602) 212-0809
Mailing address
3231 W THUNDERBIRD RD, PHOENIX, AZ 85053-5605
(602) 212-0809

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/21/2018
Last updated
09/21/2018
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