Organization · Type 2 NPI

The Harbor Lighhouse II

Adult Care Home Facility · Glendale, AZ

NPI number 1336477520 Active

Practice location

4142 W Grovers Ave
Glendale, AZ 85308-2926

Call (602) 358-8604 Map

Fax (602) 606-2356

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XALH-6343 (AZ)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1336477520

The Harbor Lighhouse II's National Provider Identifier is 1336477520, issued on Nov 26, 2009. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Glendale, AZ. The record was last updated on Nov 26, 2009.