Organization · Type 2 NPI

Phoenix Senior Living LLC

Assisted Living Facility · Youngtown, AZ

NPI number 1154541324 Active

Practice location

12322 N 13th Avenue
Youngtown, AZ 85363

Call (623) 583-2460 Map

Fax (503) 485-1279

Mailing address

PO Box 3006
Salem, OR 97302-0006

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XALC5613 (AZ)
Alzheimer Center (Dementia Center) 311500000XALC5613 (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.

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About NPI 1154541324

Phoenix Senior Living LLC's National Provider Identifier is 1154541324, issued on Apr 27, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Youngtown, AZ. The record was last updated on Jul 23, 2008.