JOLLEY FAMILY ASSISTED LIVING III is an adult care home custodial care facility in Buckeye, 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. JOLLEY FAMILY ASSISTED LIVING III NPI is 1881043503. The provider is registered as an organization entity type.
The provider's business location address is:
20104 W BROADWAY RD
BUCKEYE, AZ
ZIP 85326-753
Phone: (623) 327-9573
Fax: (623) 327-9586
The provider's authorized official is Fay Jolley-webster .
The authorized official title is Owner and has the following contact phone number (602) 571-0529.
The CLIA number assigned to this NPI record is 03D1060099 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/3/2016 and was last updated on 6/3/2016.