Organization · Type 2 NPI

Casa de Angeles Assisted Living Inc.

Assisted Living Facility · Pearce, AZ

NPI number 1003189754 Active

Practice location

457 N. Ironwood Ct.
Pearce, AZ 85625

Call (520) 826-4065 Map

Fax (520) 826-4065

Mailing address

P.o. Box 726
Pearce, AZ 85625

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL8631H (AZ)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

NPI record

NPI: 1003189754
Entity type: Organization (Type 2)
Issued: Feb 10, 2012
Last updated: Apr 11, 2022
Status: Active

Other names

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Casa de Angeles Assisted Living · doing business as
Casa de Angeles Assisted Living · doing business as

Authorized official

Mrs. Iliana Lara
Co-Owner
(520) 873-8419

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About NPI 1003189754

Casa de Angeles Assisted Living Inc.'s National Provider Identifier is 1003189754, issued on Feb 10, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pearce, AZ. The record was last updated on Apr 11, 2022.