Organization · Type 2 NPI
Desert Gem Assisted Living Facility, LLC
Adult Care Home Facility · Phoenix, AZ
NPI number
1770125403
Active
Practice location
3236 W. Eugie Avenue
Phoenix, AZ 85029
Fax (480) 639-5748
Mailing address
1734 E. Bahrend Drive
Phoenix, AZ 85024-1205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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 1770125403
Desert Gem Assisted Living Facility, LLC's National Provider Identifier is 1770125403, issued on Oct 15, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 15, 2019.