NPI 1760925358

Lifestream Complete Senior Living, INC.

Organisation Skilled Nursing Facility Youngtown, AZ

Practice location

Address: 11523 W. Peoria Avenue, Youngtown, AZ 85363
Phone: (623) 972-2371
Fax: (623) 972-7320
Mailing address: 11555 W. Peoria Avenue, Youngtown, AZ 85363

Authorised official

Name: Donna Taylor
Title: Executive Vice President/Coo
Phone: (623) 933-3333

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Arizona →

Registry record

NPI: 1760925358
Entity type: Organization
NPI issued: 30 Nov 2016
Record last updated: 30 Nov 2016

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.