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Marietta Gingosa, BSNRNMSN
Assisted Living Facility in Surprise, Arizona
NPI 1174248363

Marietta Gingosa is an Assisted Living Facility based in Surprise, AZ. Marietta Gingosa practices in Surprise, AZ and has the professional credentials of BSNRNMSN. The NPI Number for Marietta Gingosa is 1174248363 and holds a License No. ALM-011151 (Arizona).

The current practice location address for Marietta Gingosa is 15956 W Cortez St, Surprise, AZ and can be reached out via phone at 623-440-6659.

Location: 15956 W Cortez St, Surprise, AZ, 85379-1162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174248363
Provider Name
Marietta Gingosa
Credential
BSNRNMSN
Provider Entity Type
Individual
Gender
Female
Address
15956 W Cortez St, Surprise, AZ, 85379-1162
Phone Number
623-440-6659
Fax Number
Provider Enumeration Date
10/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15956 W Cortez St
City
Surprise
State
Arizona
Zip
85379-1162
Phone Number
623-440-6659
Fax Number
person
Provider Business Mailing Address Details
Address
15956 W Cortez St
City
Surprise
State
Arizona
Zip
85379-1162
Phone Number
623-440-6659
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
ALM-011151 (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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