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THE HARBOR LIGHHOUSE II

Nursing Yellow Pages

Glendale, Arizona

Provider NPI: 1336477520

Organization Information:
Organization Name:  THE HARBOR LIGHHOUSE II


Practice Location:
4142 W GROVERS AVE  GLENDALE, AZ 85308 US
Tel: 602-358-8604  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALH-6343

Other Provider Identifiers:

IssuerNumberStateType
ASSISTED LIVING HOME LICENSEAHL-6343AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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