EAGLE PASS SENIOR LIVING LLC NPI 1659936433

NPI Information

EAGLE PASS SENIOR LIVING LLC is an assisted living facility in Glendale, 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. EAGLE PASS SENIOR LIVING LLC NPI is 1659936433. The provider is registered as an organization entity type.
The provider Is Doing Business As Amarsi Assisted Living.

The provider's business location address is:

5125 N 58TH AVE
GLENDALE, AZ
ZIP 85301-453
Phone: (623) 915-5720
Fax: (623) 931-8776

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 03D2197463 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2019 and was last updated on 1/23/2020.

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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