Organization
WINDSOR ENCANTO PALMS, LLC
Active
Other names
Encanto Palms Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KROHN (EXECUTIVE DIRECTOR)
(602) 352-0000
Entity
Organization
Contact information
Practice address
3901 W ENCANTO BLVD, PHOENIX, AZ 85009-1241
(602) 352-0000
(602) 272-6533
Mailing address
3901 W ENCANTO BLVD, PHOENIX, AZ 85009-1241
(602) 352-0000
(602) 272-6533
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
ALC4966C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768788
—
AZ
Enumeration date
01/14/2013
Last updated
02/12/2013
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