Provider Demographics
NPI:1013723840
Name:A PLACE FOR YOUR LOVED ONES ,INC
Entity type:Organization
Organization Name:A PLACE FOR YOUR LOVED ONES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LITSAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMAGPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-293-7024
Mailing Address - Street 1:14785 W WINDROSE DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-5981
Mailing Address - Country:US
Mailing Address - Phone:623-293-7024
Mailing Address - Fax:623-281-0002
Practice Address - Street 1:22131 N 79TH AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2148
Practice Address - Country:US
Practice Address - Phone:623-293-7024
Practice Address - Fax:623-281-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility