NPI 1609600105
Cap X-Montecito
Practice location
- Address
- 17271 N 87th Ave, Peoria, AZ 85382-2777
- Phone
- (623) 972-1400
- Fax
- (623) 972-7470
Authorised official
- Name
- Deatra Johnson
- Title
- Executive Director
- Phone
- (623) 972-1400
Registered specialties (2)
Custodial Care Facility
Primary
Assisted Living Facility
Registry record
- NPI
- 1609600105
- Entity type
- Organization
- NPI issued
- 27 Aug 2024
- Record last updated
- 27 Aug 2024
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.