PHOENIX SENIOR LIVING LLC

YOUNGTOWN, AZ
NPI1154541324
Doing Business AsWILLOW CREEK ASSISTED LIVING & MEMORY CARE COMMUNITY
Entity TypeOrganization
Authorized ContactJON M HARDER
Manager
503-485-8697
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
(Licence: AZ  ALC5613)
Additional Taxonomies311500000X Alzheimer Center (Dementia Center)
(Licence: AZ  ALC5613)
Enumeration Date2007-04-27
Last Update Date2008-07-23
Business Address
PHOENIX SENIOR LIVING LLC
12322 N 13TH AVENUE
YOUNGTOWN, AZ 85363
Phone number: 623-583-2460
Mailing Address
PHOENIX SENIOR LIVING LLC
PO BOX 3006
SALEM, OR 97302-0006
Phone number: 503-485-8697