| NPI | 1538652540 |
|---|---|
| Doing Business As | AVISTA SENIOR LIVING NORTH MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | CANDICE FINE Authorized Agent 480-244-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8638C) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |