Organization Name: | MADERA ASSISTED LIVING HOME |
NPI Number: | 1609925718 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA C HEYWOOD (OWNER-MANAGER) |
Mailing Address: | 707 W Palo Verde St Gilbert |
State: | AZ US |
Postal Code: | 852335841 |
Phone Number: | 4806633652 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALH-5008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |