DESERT GEM ASSISTED LIVING FACILITY LLC NPI 1770125403

NPI Information

DESERT GEM ASSISTED LIVING FACILITY, LLC is an adult care home custodial care facility in Phoenix, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. DESERT GEM ASSISTED LIVING FACILITY, LLC NPI is 1770125403. The provider is registered as an organization entity type.

The provider's business location address is:

3236 W. EUGIE AVENUE
PHOENIX, AZ
ZIP 85029
Phone: (480) 639-3290
Fax: (480) 639-5748

The provider's authorized official is Dioscoro Angelo Tagle .
The authorized official title is Owner/manager and has the following contact phone number (480) 208-5137.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/15/2019.

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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