NPI 1073262333

Pennington Gardens Sl, LLC

Organisation Assisted Living Facility Chandler, AZ

Practice location

Address: 977 S Pennington Dr, Chandler, AZ 85224-5658
Phone: (480) 814-9046
Fax: (480) 814-9058
Mailing address: 560 1st St STE 104, Lake Oswego, OR 97034-3273

Authorised official

Name: Steven Bae
Title: Vp of Org Development
Phone: (503) 675-3925

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1073262333
Entity type: Organization
NPI issued: 22 Mar 2022
Record last updated: 24 Aug 2023

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.