NPI 1114172053
Superstition Manor Assisted Living LLC
Practice location
- Address
- 201 W 20th Ave, Apache Junction, AZ 85220-7532
- Phone
- (480) 288-9711
- Fax
- (480) 228-8869
- Mailing address
- 201 W 20th Ave, Apache Junction, AZ 85120-7532
Authorised official
- Name
- Bruce Bogucki
- Title
- Owner Manager
- Phone
- (480) 227-3458
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1114172053
- Entity type
- Organization
- NPI issued
- 19 Nov 2008
- Record last updated
- 10 Oct 2013
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.