institution
Five Star Granite Gate, Llc
Assisted Living Facility in Prescott, Arizona
NPI 1811191943

Five Star Granite Gate, Llc is an Assisted Living Facility based in Newton, AZ. Five Star Granite Gate, Llc practices in Prescott, AZ. The NPI Number for Five Star Granite Gate, Llc is 1811191943 and holds a License No. ALC-6120 (Arizona).

The current practice location address for Five Star Granite Gate, Llc is 3850 North Us Highway 89, Prescott, AZ and can be reached out via phone at 928-771-8200 and via fax at 928-771-8213. You can also correspond with Five Star Granite Gate, Llc through the mailing address at 400 CENTRE STREET, NEWTON, MA - 02458 (mailing address contact number: 617-796-8387).

Location: 3850 North Us Highway 89, Prescott, AZ, 02458
institution
Provider Profile Details
NPI Number
1811191943
Provider Name
Five Star Granite Gate, Llc
Credential
Provider Entity Type
Organization
Address
3850 North Us Highway 89, Prescott, AZ, 02458
Phone Number
928-771-8200
Fax Number
928-771-8213
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ALC-6120 01 AZ ASSISTED LIVING LICENSE
institution
Provider Business Practice Location Address Details
Address
3850 North Us Highway 89
City
State
Zip
86301
Phone Number
928-771-8200
Fax Number
928-771-8213
person
Provider Business Mailing Address Details
Address
400 Centre Street
City
State
Zip
02458
Phone Number
617-796-8387
Fax Number
617-796-8385
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
ALC-6120 (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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