Whalio Doctors

NPI 1447256466

Lifestream Complete Senior Living INC.

Organisation Skilled Nursing Facility Youngtown, AZ

Practice location

Address
11527 W Peoria Ave, Youngtown, AZ 85363-1640
Phone
(623) 933-4683
Fax
(623) 972-4993

Authorised official

Name
Ronald Estes
Title
Chief Financial Officer
Phone
(623) 933-3333

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCI-382 (AZ)

Registry record

NPI
1447256466
Entity type
Organization
NPI issued
23 Jun 2005
Record last updated
21 May 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.