Organization · NPI-2

Cardinal Assisted Living Home

Home Health · Surprise, AZ

NPI number1659088045
StatusActive
Last updated in NPPESNov 3, 2022

Details

NPI
1659088045
Entity type
Organization (NPI-2)
Legal business name
Cardinal Assisted Living Home
Organization subpart
No
Enumeration date
Nov 3, 2022
Certification date
Nov 3, 2022
Last updated
Nov 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Cardinal Assisted Living Home (Former Legal Business Name)

Practice location

25661 N Desert Mesa Dr
Surprise, AZ 85387-6830

Phone 623-792-7185 · Fax 623-792-7064

Mailing address

25661 N Desert Mesa Dr
Surprise, AZ 85387-6830

Phone 623-792-7185 · Fax 623-792-7064

Authorized official

Stefana Burlacu
Owner
6237927185

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