NPI 1336530278

Crystal Cove Home Care LLC

Organisation Assisted Living Facility Gilbert, AZ

Practice location

Address: 4492 E Laurel Ave, Gilbert, AZ 85234-7651
Phone: (480) 633-7122
Fax: (480) 248-6114

Authorised official

Name: Erlinda Villa Canoy
Title: Manager
Phone: (480) 633-7122

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL2704H (AZ)

Other Assisted Living Facility providers in Arizona →

Registry record

NPI: 1336530278
Entity type: Organization
NPI issued: 13 Feb 2015
Record last updated: 13 Feb 2015

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.