Provider Demographics
NPI:1528657731
Name:ABOUT SENIORS ASSISTED LIVING II,LLC
Entity type:Organization
Organization Name:ABOUT SENIORS ASSISTED LIVING II,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LUANA
Authorized Official - Last Name:SII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-249-7487
Mailing Address - Street 1:21536 N 66TH LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6414
Mailing Address - Country:US
Mailing Address - Phone:623-249-7487
Mailing Address - Fax:
Practice Address - Street 1:15421 N 177TH DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-3100
Practice Address - Country:US
Practice Address - Phone:623-249-7487
Practice Address - Fax:623-594-4858
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABOUT SENIORS ASSISTED LIVING HOME, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility