Individual provider · Type 1 NPI
Gina L. Rodriguez
Assisted Living Facility · Phoenix, AZ
NPI number
1922656800
Active
Practice location
1826 N 43rd St
Phoenix, AZ 85008-4013
Mailing address
1849 E Commerce Ave
Gilbert, AZ 85234-8210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL11185H (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 1922656800
Gina L. Rodriguez's National Provider Identifier is 1922656800, issued on Sep 3, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 3, 2019.