Organization
APOLLO RESIDENTIAL ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JENKINS RN (OWNER/MEMBER)
(623) 238-2285
Entity
Organization
Contact information
Practice address
4719 W HARMONT DR, GLENDALE, AZ 85302-6416
(623) 238-2285
Mailing address
14202 W MAUNA LOA LN, SURPRISE, AZ 85379-8669
(623) 238-2285
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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