NPI 1114608569

Ascendtial Living LLC

Organisation Driver Phoenix, AZ

Practice location

Address: 7244 W Williams St, Phoenix, AZ 85043
Phone: (330) 815-1667
Mailing address: 7244 W Williams St, Phoenix, AZ 85043-7812

Authorised official

Name: Octavia Solomon
Title: Owner
Phone: (330) 815-1667

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1114608569
Entity type: Organization
NPI issued: 28 Jul 2023
Record last updated: 28 Jul 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.