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LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC

Assisted Living Facility

Glendale, Arizona

Provider NPI: 1881674414

Organization Information:
Organization Name:  LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC


Practice Location:
13617 N 55TH AVE  GLENDALE, AZ 85304 US
Tel: 602-938-5500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AZALC-4809

Other Provider Identifiers:

IssuerNumberStateType
E2103020AZ05
EVC00600003119AZ05
622854AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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