LASHANNA D ROE
Adult Care Home
Youngtown, Arizona
Provider NPI: 1144360512
Organization Information:Organization Name: LASHANNA D ROE
Practice Location:
11596 W PURDUE AVE YOUNGTOWN, AZ 85363 US
Tel: 623-388-4647 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
11596 W PURDUE AVE YOUNGTOWN, AZ 85363 US
Tel: 623-388-4647 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AZ | ALH5220 |