Organization · NPI-2

A Golden Retreat Care Home, LLC

Assisted Living Facility · Surprise, AZ

NPI number1821585423
StatusActive
Last updated in NPPESApr 18, 2018

Details

NPI
1821585423
Entity type
Organization (NPI-2)
Legal business name
A Golden Retreat Care Home, LLC
Organization subpart
No
Enumeration date
Apr 18, 2018
Last updated
Apr 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAL10702HAZYes

Other names

  • A Golden Retreat Care Home (Doing Business As)

Practice location

18330 W Marconi Ave
Surprise, AZ 85388-2358

Phone 623-297-4925 · Fax 623-399-1152

Mailing address

8974 W Ruth Ave
Peoria, AZ 85345-7978

Phone 623-297-4925 · Fax 623-399-1152

Authorized official

David K Stutsman
Member
6232974925

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