Provider Demographics
NPI:1063810687
Name:DAILEY SENIOR CARE, LLC
Entity type:Organization
Organization Name:DAILEY SENIOR CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF THE M/M OF THE M/M
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-999-2400
Mailing Address - Street 1:1000 LEGION PL
Mailing Address - Street 2:SUITE 1750, C/O ROC SENIORS, ATTN: AMIT GHOSH,
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1058
Mailing Address - Country:US
Mailing Address - Phone:407-999-2400
Mailing Address - Fax:407-999-7759
Practice Address - Street 1:5401 W DAILEY ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4708
Practice Address - Country:US
Practice Address - Phone:602-904-7964
Practice Address - Fax:602-938-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility