Organization
CARSON CARE FACILITY LLC
Active
Organization
CARSON CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN COTTON (MEMBER)
(623) 236-5843
Entity
Organization
Contact information
Practice address
6736 W CARSON RD, LAVEEN, AZ 85339-7024
(623) 236-5843
Mailing address
2920 N LITCHFIELD RD STE 100, GOODYEAR, AZ 85395
(623) 236-5843
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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