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Mrs. Georgeta Moisiu
Adult Care Home Facility in Surprise, Arizona
NPI 1750679239

Georgeta Moisiu is an Adult Care Home Facility based in Surprise, AZ and is specialized in Adult Care Home. Georgeta Moisiu practices in Surprise, AZ. The NPI Number for Georgeta Moisiu is 1750679239 and holds a License No. AL6904H (Arizona).

The current practice location address for Georgeta Moisiu is 13535 W Canyon Creek Dr, Surprise, AZ and can be reached out via phone at 623-594-2294 and via fax at 623-328-7031.

Location: 13535 W Canyon Creek Dr, Surprise, AZ, 85374-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750679239
Provider Name
Georgeta Moisiu
Credential
Provider Entity Type
Individual
Gender
Female
Address
13535 W Canyon Creek Dr, Surprise, AZ, 85374-5407
Phone Number
623-594-2294
Fax Number
623-328-7031
Provider Enumeration Date
07/18/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
572046 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
13535 W Canyon Creek Dr
City
Surprise
State
Arizona
Zip
85374-5407
Phone Number
623-594-2294
Fax Number
623-328-7031
person
Provider Business Mailing Address Details
Address
13535 W Canyon Creek Dr
City
Surprise
State
Arizona
Zip
85374-5407
Phone Number
623-594-2294
Fax Number
623-328-7031
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL6904H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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