SOLTERRA DEER VALLEY OPERATIONS LLC NPI 1992226948

NPI Information

SOLTERRA DEER VALLEY OPERATIONS, LLC is an assisted living facility in Phoenix, 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. SOLTERRA DEER VALLEY OPERATIONS, LLC NPI is 1992226948. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgewater Assisted Living.

The provider's business location address is:

2641 W UNION HILLS DR
PHOENIX, AZ
ZIP 85027-000
Phone: (602) 603-7480
Fax: (602) 603-7485

The provider's authorized official is Inge Duran .
The authorized official title is Vice President Of Finance and has the following contact phone number (480) 621-4609.

The CLIA number assigned to this NPI record is 03D2155702 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 6/29/2017.

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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