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Lakeshore Crest,llc
Assisted Living Facility in Glendale, Arizona
NPI 1568758795

Lakeshore Crest,llc is an Assisted Living Facility based in Glendale, AZ. Lakeshore Crest,llc practices in Glendale, AZ. The NPI Number for Lakeshore Crest,llc is 1568758795 and holds a License No. AL8496H (Arizona).

The current practice location address for Lakeshore Crest,llc is 19535 N 55Th Dr, Glendale, AZ and can be reached out via phone at 623-376-6469.

Location: 19535 N 55Th Dr, Glendale, AZ, 85308-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568758795
Provider Name
Lakeshore Crest,llc
Credential
Provider Entity Type
Organization
Address
19535 N 55Th Dr, Glendale, AZ, 85308-6805
Phone Number
623-376-6469
Fax Number
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
629718 05 AZ
institution
Provider Business Practice Location Address Details
Address
19535 N 55Th Dr
City
Glendale
State
Arizona
Zip
85308-6805
Phone Number
623-376-6469
Fax Number
person
Provider Business Mailing Address Details
Address
19535 N 55Th Dr
City
Glendale
State
Arizona
Zip
85308-6805
Phone Number
623-376-6469
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL8496H (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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