Individual provider · Type 1 NPI
Victoria Bravo, OWNER
Assisted Living Facility · Phoenix, AZ
NPI number
1043928112
Active
Practice location
4315 W Earll Dr
Phoenix, AZ 85031-3819
Mailing address
16470 N 182nd Ln
Surprise, AZ 85388-6620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
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About NPI 1043928112
Victoria Bravo, OWNER's National Provider Identifier is 1043928112, issued on Nov 8, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 8, 2022.