ARIZONA EASTERN STAR RETIREMENT CENTER
Nursing at 24 St, Phoenix, AZ

License number
Arizona ALC-4559
Category
Nursing
Type
Assisted Living Facility
License number
Arizona NCI-307
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MARIA PARHAM
Title: ADMINISTRATOR
Phone: (602) 954-9178
Address
Address
4602 N 24Th St, Phoenix, AZ 85016
National Provider ID: 1205824653
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA EASTERN STAR RETIREMENT CENTER

4600 N 24 St, Phoenix, AZ 85016

Industry:
Skilled Nursing Care Facility
Registration:
Apr 20, 1971
State ID:
-0082579-9
Expiration:
Perpetual
Executive Directors:
Terry Loll (President), 872 Puerta Ct, Bullhead City, AZ 86429 (Physical),Rugh Brannan (Secretary), 6912 E Windsor, Scottsdale, AZ 85257 (Physical),Kenneth Bols (Treasurer), 7348 N 9 Pl, Phoenix, AZ 85020 (Physical),...
Agent:
Ct Corporation System,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

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