Casa Del Rey Assisted Living Care Home, LLC
Custodial Care Facility, Adult Care Home in Peoria, AZ. Organization (NPI-2).
NPI number1871237107
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1871237107
- Entity type
- Organization (NPI-2)
- Legal business name
- Casa Del Rey Assisted Living Care Home, LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2022
- Certification date
- Apr 22, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
22284 N 102nd LnPeoria, AZ 85383-2657
Phone 623-266-4934 · Fax 623-271-8325
Mailing address
22284 N 102nd LnPeoria, AZ 85383-2657
Phone 623-266-4934 · Fax 623-271-8325
Authorized official
Doinita Dorina Dawson
Manager Assisted Living
6024468139
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