Organization · Type 2 NPI
Jolley Family Assisted Living III
Adult Care Home Facility · Buckeye, AZ
NPI number
1881043503
Active
Practice location
20104 W Broadway Rd
Buckeye, AZ 85326-5753
Fax (623) 327-9586
Mailing address
20110 W Broadway Rd
Buckeye, AZ 85326-5753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL8243H (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.
Another provider at this address
About NPI 1881043503
Jolley Family Assisted Living III's National Provider Identifier is 1881043503, issued on Jun 3, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Buckeye, AZ. The record was last updated on Jun 3, 2016.