Organization · NPI-2

A Loving Heart Assisted Living II

Assisted Living Facility · Surprise, AZ

NPI number1003664640
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1003664640
Entity type
Organization (NPI-2)
Legal business name
A Loving Heart Assisted Living II
Organization subpart
No
Enumeration date
May 8, 2024
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

17450 W Wood Dr
Surprise, AZ 85388-5104

Phone 571-334-2343 · Fax 480-718-7443

Mailing address

Po Box 6288
Scottsdale, AZ 85261-6288

Phone 571-334-2343

Authorized official

Jamie Skojec
Owner
5713342343

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