Organization · NPI-2
Anastasia Assisted Living Home LLC
Assisted Living Facility · Surprise, AZ
NPI number1720550767
StatusActive
Last updated in NPPESDec 31, 2018
Details
- NPI
- 1720550767
- Entity type
- Organization (NPI-2)
- Legal business name
- Anastasia Assisted Living Home LLC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2018
- Last updated
- Dec 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
12805 N 145th AveSurprise, AZ 85379
Phone 623-218-6564 · Fax 623-218-6564
Mailing address
14417 W Mauna Loa LaneSurprise, AZ 85379
Phone 623-221-1997 · Fax 623-218-8564
Authorized official
Maria Cristina Burca
Manager
6232211997
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