Individual provider · Type 1 NPI

John Henry Martin Lico

Assisted Living Facility · Surprise, AZ

NPI number 1003432667 Active

Practice location

15244 W Watson Ln
Surprise, AZ 85379-7040

Call (623) 227-9697 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL11496H (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.

2 other providers at this address

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About NPI 1003432667

John Henry Martin Lico's National Provider Identifier is 1003432667, issued on Jun 19, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Surprise, AZ. The record was last updated on Jun 19, 2020.