institution
Southern Assisted Living, Llc
Assisted Living Facility in Phoenix, Arizona
NPI 1730691288

Southern Assisted Living, Llc is an Assisted Living Facility based in Phoenix, AZ. Southern Assisted Living, Llc practices in Phoenix, AZ. The NPI Number for Southern Assisted Living, Llc is 1730691288 and holds a License No. AL9327H (Arizona).

The current practice location address for Southern Assisted Living, Llc is 6013 S 47Th St, Phoenix, AZ and can be reached out via phone at 602-426-0332 and via fax at 602-601-7067.

Location: 6013 S 47Th St, Phoenix, AZ, 85042-5312
institution
Provider Profile Details
NPI Number
1730691288
Provider Name
Southern Assisted Living, Llc
Credential
Provider Entity Type
Organization
Address
6013 S 47Th St, Phoenix, AZ, 85042-5312
Phone Number
602-426-0332
Fax Number
602-601-7067
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL9327H 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
6013 S 47Th St
City
State
Zip
85042-5312
Phone Number
602-426-0332
Fax Number
602-601-7067
person
Provider Business Mailing Address Details
Address
6013 S 47Th St
City
State
Zip
85042-5312
Phone Number
602-426-0332
Fax Number
602-601-7067
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL9327H (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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