BOULDER GARDENS ASSISTANT LIVING, LLC is an assisted living facility in Prescott, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BOULDER GARDENS ASSISTANT LIVING, LLC NPI is 1114262292. The provider is registered as an organization entity type.
The provider's business location address is:
860 DOUGHERTY ST
PRESCOTT, AZ
ZIP 86305-841
Phone: (928) 778-9667
Fax: (520) 393-1044
The provider's authorized official is Carl Zimmerman .
The authorized official title is Senior Vice President and has the following contact phone number (520) 352-3019.
The CLIA number assigned to this NPI record is 03D2193956 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/30/2012 and was last updated on 11/30/2012.