NPI | 1679821870 |
---|---|
Doing Business As | DBA JOHN C. LINCOLN AVISTA SENIOR LIVING NORTH MOUNTAIN |
Entity Type | Organization |
Authorized Contact | NATHAN ANSPACH Sr. Vice President 623-434-6200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-08-17 |