S-H OPCO PERIDOT LLC NPI 1467860593

NPI Information

S-H OPCO PERIDOT, 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. S-H OPCO PERIDOT, LLC NPI is 1467860593. The provider is registered as an organization entity type.
The provider Is Doing Business As The Peridot.

The provider's business location address is:

211 BRADSHAW DR
PRESCOTT, AZ
ZIP 86303-405
Phone: (928) 777-5511

The provider's authorized official is Mark Ohlendorf .
The authorized official title is Cfo and has the following contact phone number (414) 918-5000.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 8/1/2014.

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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