AVONDALE ASSISTED LIVING LLC NPI 1578976999

NPI Information

AVONDALE ASSISTED LIVING LLC is an assisted living facility in Avondale, 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. AVONDALE ASSISTED LIVING LLC NPI is 1578976999. The provider is registered as an organization entity type.

The provider's business location address is:

2302 S 113TH AVE
AVONDALE, AZ
ZIP 85323-179
Phone: (623) 236-9800
Fax: (623) 236-8614

The provider's authorized official is Trudy A Skousen .
The authorized official title is Owner and has the following contact phone number (602) 317-0107.

The CLIA number assigned to this NPI record is 03D2204470 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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