Organization · Type 2 NPI

Summerhaven Assisted Living Home LLC

Assisted Living Facility · Phoenix, AZ

NPI number 1679088504 Active

Practice location

3118 W T Ryan Ln
Phoenix, AZ 85041-5216

Call (602) 621-6337 Map

Fax (602) 601-7727

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL10582F (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 1679088504

Summerhaven Assisted Living Home LLC's National Provider Identifier is 1679088504, issued on Dec 14, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 14, 2017.