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1053539700
SURPRISE RESIDENTIAL ASSISTED LIVING
SURPRISE, AZ
NPI
1053539700
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Entity Type
Organization
Authorized Contact
SHAIBA BARRY
Manager
602-404-8196
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2007-04-20
Last Update Date
2020-08-22
Business Address
SURPRISE RESIDENTIAL ASSISTED LIVING
17218 W STATLER ST
SURPRISE, AZ 85388-1265
Phone number: 602-369-1254
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Mailing Address
SURPRISE RESIDENTIAL ASSISTED LIVING
17633 N 14TH ST
PHOENIX, AZ 85022-2001
Phone number: 602-404-8196
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