NPI 1164268421

Joshua Andreica

Practitioner Assisted Living Facility Surprise, AZ

Practice location

Address: 16118 N 168th Ln, Surprise, AZ 85388-1350
Phone: (503) 616-8445
Mailing address: 18260 W Bridger St, Surprise, AZ 85388-1614

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1164268421
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2024
Record last updated: 6 Jul 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.