Provider Demographics
NPI:1316412059
Name:JOHN & BILJANA FEELEY DBA J & B ASSISTED LIVING III INC
Entity type:Organization
Organization Name:JOHN & BILJANA FEELEY DBA J & B ASSISTED LIVING III INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-910-7645
Mailing Address - Street 1:6613 W PERSHING AVENUE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304
Mailing Address - Country:US
Mailing Address - Phone:623-825-2880
Mailing Address - Fax:623-825-2880
Practice Address - Street 1:7331 W SWEETWATER AVENUE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381
Practice Address - Country:US
Practice Address - Phone:623-825-2880
Practice Address - Fax:623-825-2880
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & B ASSISTED LIVING, INC.,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-09
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness