Whalio Doctors

NPI 1578764049

Jolley Family Assisted Living Home II

Organisation Adult Care Home Facility Glendale, AZ

Practice location

Address
5042 N 86th Dr, Glendale, AZ 85305-3313
Phone
(623) 872-0032
Fax
(623) 872-0033

Authorised official

Name
Sharon Lenore Duncan
Title
Co-Owner
Phone
(623) 872-0032

Registered specialties

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALH-4290 (AZ)

Registry record

NPI
1578764049
Entity type
Organization
NPI issued
30 May 2007
Record last updated
22 Aug 2020

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.