Whalio Doctors

NPI 1003189754

Casa de Angeles Assisted Living INC.

Organisation Assisted Living Facility Pearce, AZ

Practice location

Address
457 N. Ironwood CT., Pearce, AZ 85625
Phone
(520) 826-4065
Fax
(520) 826-4065
Mailing address
P.O. Box 726, Pearce, AZ 85625

Authorised official

Name
Iliana Lara
Title
Co-Owner
Phone
(520) 873-8419

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL8631H (AZ)

Registry record

NPI
1003189754
Entity type
Organization
NPI issued
10 Feb 2012
Record last updated
11 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.