NPI 1003189754
Casa de Angeles Assisted Living INC.
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
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.