institution
Jolley Family Assisted Living Iii
Adult Care Home Facility in Buckeye, Arizona
NPI 1881043503

Jolley Family Assisted Living Iii is an Adult Care Home Facility based in Buckeye, AZ and is specialized in Adult Care Home. Jolley Family Assisted Living Iii practices in Buckeye, AZ. The NPI Number for Jolley Family Assisted Living Iii is 1881043503 and holds a License No. AL8243H (Arizona).

The current practice location address for Jolley Family Assisted Living Iii is 20104 W Broadway Rd, Buckeye, AZ and can be reached out via phone at 623-327-9573 and via fax at 623-327-9586.

Location: 20104 W Broadway Rd, Buckeye, AZ, 85326-5753
institution
Provider Profile Details
NPI Number
1881043503
Provider Name
Jolley Family Assisted Living Iii
Credential
Provider Entity Type
Organization
Address
20104 W Broadway Rd, Buckeye, AZ, 85326-5753
Phone Number
623-327-9573
Fax Number
623-327-9586
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304300 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
20104 W Broadway Rd
City
State
Zip
85326-5753
Phone Number
623-327-9573
Fax Number
623-327-9586
person
Provider Business Mailing Address Details
Address
20104 W Broadway Rd
City
State
Zip
85326-5753
Phone Number
623-327-9573
Fax Number
623-327-9586
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
AL8243H (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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