3rd And Indian School Assisted Living Facility, LLC
Assisted Living Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1912716705
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1912716705
- Entity type
- Organization (NPI-2)
- Legal business name
- 3rd And Indian School Assisted Living Facility, LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
4000 N 3rd AvePhoenix, AZ 85013-1285
Phone 217-620-9874
Mailing address
121 W Wacker Dr Ste 400Chicago, IL 60601-1781
Phone 217-620-9874
Authorized official
Jo Ellen Bleavins
President And Ceo
2176209874
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