NPI 1043921596

Jocelyn Jasper, OWNER

Practitioner Assisted Living Facility Surprise, AZ

Practice location

Address: 13387 W Fargo Dr, Surprise, AZ 85374-5206
Phone: (623) 546-5810
Fax: (623) 546-5810

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL2591H (AZ)

Other Assisted Living Facility providers in Arizona →

Registry record

NPI: 1043921596
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2022
Record last updated: 6 Dec 2022

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.