Provider Demographics
NPI:1386043412
Name:D.R.W. & ASSOCIATES UNLIMITED, LLC
Entity Type:Organization
Organization Name:D.R.W. & ASSOCIATES UNLIMITED, LLC
Other - Org Name:DESERT GARDEN SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-210-4872
Mailing Address - Street 1:4606 W CORRAL RD
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2056
Mailing Address - Country:US
Mailing Address - Phone:480-719-3731
Mailing Address - Fax:
Practice Address - Street 1:4606 W CORRAL RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2056
Practice Address - Country:US
Practice Address - Phone:480-719-3731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9384H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ923349Medicaid