| NPI | 1922889047 |
|---|---|
| Doing Business As | ATIVO SENIOR LIVING PRESCOTT VALLEY |
| Entity Type | Organization |
| Authorized Contact | RONALD ZIEBART Managing Member 503-363-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |