Organization · Type 2 NPI

Boulder Gardens Assistant Living, LLC

Assisted Living Facility · Prescott, AZ

NPI number 1114262292 Active

Practice location

860 Dougherty St
Prescott, AZ 86305-1841

Call (928) 778-9667 Map

Fax (520) 393-1044

Mailing address

150 N La Canada Dr
Green Valley, AZ 85614-3129

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL1494C (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 1114262292

Boulder Gardens Assistant Living, LLC's National Provider Identifier is 1114262292, issued on Nov 30, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Prescott, AZ. The record was last updated on Nov 30, 2012.