LB PHOENIX BETHANY HOME ROAD LLC

PHOENIX, AZ
NPI1942355219
Doing Business AsCHRIS RIDGE VILLAGE
Entity TypeOrganization
Authorized ContactJAMES MICHAEL BAUSCH
General Manager
602-433-6416
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: AZ  035116)
Enumeration Date2007-01-24
Last Update Date2007-09-28
Business Address
LB PHOENIX BETHANY HOME ROAD LLC
6246 N 19TH AVE
PHOENIX, AZ 85015-1511
Phone number: 602-433-6416
Mailing Address
LB PHOENIX BETHANY HOME ROAD LLC
6246 N 19TH AVE
PHOENIX, AZ 85015-1511
Phone number: 602-433-6416