Provider Demographics
NPI:1659771103
Name:JAMISON SENIOR LIVING COMMUNITIES, LLC
Entity Type:Organization
Organization Name:JAMISON SENIOR LIVING COMMUNITIES, LLC
Other - Org Name:WOODLAND PALMS ASSISTED LIVING AND MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-777-3198
Mailing Address - Street 1:1020 N WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-7308
Mailing Address - Country:US
Mailing Address - Phone:520-777-3198
Mailing Address - Fax:520-777-4723
Practice Address - Street 1:1020 N WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7308
Practice Address - Country:US
Practice Address - Phone:520-777-3198
Practice Address - Fax:520-777-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL7186C311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)