Organization
GOLDEN MEMORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CRISTEA (MANAGER)
(602) 547-6992
Entity
Organization
Contact information
Practice address
219 W VILLA THERESA DR, PHOENIX, AZ 85023-6431
(602) 547-6992
(602) 978-9376
Mailing address
219 W VILLA THERESA DR, PHOENIX, AZ 85023-6431
(602) 547-6992
(602) 978-9376
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
506154
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506154
—
AZ
Enumeration date
06/22/2011
Last updated
06/22/2011
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