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Andrei Martin
Assisted Living Facility in Glendale, Arizona
NPI 1316433493

Andrei Martin is an Assisted Living Facility based in Glendale, AZ. Andrei Martin practices in Glendale, AZ. The NPI Number for Andrei Martin is 1316433493 and holds a License No. AL5696H (Arizona).

The current practice location address for Andrei Martin is 6338 W Port Royale Ln, Glendale, AZ and can be reached out via phone at 623-487-0488 and via fax at 623-487-0488.

Location: 6338 W Port Royale Ln, Glendale, AZ, 85306-3260
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Provider Profile Details
NPI Number
1316433493
Provider Name
Andrei Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
6338 W Port Royale Ln, Glendale, AZ, 85306-3260
Phone Number
623-487-0488
Fax Number
623-487-0488
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023450 05 AZ
institution
Provider Business Practice Location Address Details
Address
6338 W Port Royale Ln
City
State
Zip
85306-3260
Phone Number
623-487-0488
Fax Number
623-487-0488
person
Provider Business Mailing Address Details
Address
6338 W Port Royale Ln
City
State
Zip
85306-3260
Phone Number
623-487-0488
Fax Number
623-487-0488
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL5696H (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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