JOHN HENRY MARTIN LICO

SURPRISE, AZ
NPI1003432667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: AZ  AL11496H)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
JOHN HENRY MARTIN LICO
15244 W WATSON LN
SURPRISE, AZ 85379-7040
Phone number: 623-227-9697
Mailing Address
JOHN HENRY MARTIN LICO
15244 W WATSON LN
SURPRISE, AZ 85379-7040
Phone number: