Vicky'S Loving Home
Assisted Living Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1295095461
StatusActive
Last updated in NPPESMay 22, 2012
Details
- NPI
- 1295095461
- Entity type
- Organization (NPI-2)
- Legal business name
- Vicky'S Loving Home
- Organization subpart
- Yes
- Enumeration date
- May 22, 2012
- Last updated
- May 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL7043H | AZ | Yes |
Other names
- Vicky'S Loving Home (Doing Business As)
Practice location
3433 W Malapai DrPhoenix, AZ 85051-1240
Phone 602-216-9638 · Fax 602-938-0156
Mailing address
3433 W Malapai DrPhoenix, AZ 85051-1240
Phone 602-216-9638 · Fax 602-938-0156
Authorized official
Victoria Q Whitehat
Vice President
6022169638
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