HOLY NAME ASSISTED LIVING LLC NPI 1639663271

NPI Information

HOLY NAME ASSISTED LIVING, LLC is an assisted living facility in Chandler, 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. HOLY NAME ASSISTED LIVING, LLC NPI is 1639663271. The provider is registered as an organization entity type.

The provider's business location address is:

112 S NEBRASKA ST
CHANDLER, AZ
ZIP 85225-561
Phone: (480) 912-5388

The provider's authorized official is Lovely Tanglao .
The authorized official title is Owner and has the following contact phone number (480) 912-5388.

The CLIA number assigned to this NPI record is 03D2071131 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 6/18/2018.

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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