institution
Boulder Gardens Assistant Living, Llc
Assisted Living Facility in Prescott, Arizona
NPI 1114262292

Boulder Gardens Assistant Living, Llc is an Assisted Living Facility based in Green Valley, AZ. Boulder Gardens Assistant Living, Llc practices in Prescott, AZ. The NPI Number for Boulder Gardens Assistant Living, Llc is 1114262292 and holds a License No. AL1494C (Arizona).

The current practice location address for Boulder Gardens Assistant Living, Llc is 860 Dougherty St, Prescott, AZ and can be reached out via phone at 928-778-9667 and via fax at 520-393-1044. You can also correspond with Boulder Gardens Assistant Living, Llc through the mailing address at 150 N LA CANADA DR, GREEN VALLEY, AZ - 85614-3129 (mailing address contact number: 520-352-3018).

Location: 860 Dougherty St, Prescott, AZ, 85614-3129
institution
Provider Profile Details
NPI Number
1114262292
Provider Name
Boulder Gardens Assistant Living, Llc
Credential
Provider Entity Type
Organization
Address
860 Dougherty St, Prescott, AZ, 85614-3129
Phone Number
928-778-9667
Fax Number
520-393-1044
Provider Enumeration Date
11/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL1494C 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
860 Dougherty St
City
State
Zip
86305-1841
Phone Number
928-778-9667
Fax Number
520-393-1044
person
Provider Business Mailing Address Details
Address
150 N La Canada Dr
City
State
Zip
85614-3129
Phone Number
520-352-3018
Fax Number
520-393-1044
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL1494C (Arizona)
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.
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