Provider Demographics
NPI:1396495263
Name:SENIOR VALLEY ASSISTED LIVING II LLC
Entity type:Organization
Organization Name:SENIOR VALLEY ASSISTED LIVING II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHIURAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-716-2033
Mailing Address - Street 1:16810 N 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5625
Mailing Address - Country:US
Mailing Address - Phone:503-716-2033
Mailing Address - Fax:480-699-1105
Practice Address - Street 1:16810 N 66TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5625
Practice Address - Country:US
Practice Address - Phone:503-716-2033
Practice Address - Fax:480-699-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAL12193HOtherARIZONA DEPARTMENT OF HEALTH BUREAU OF RESIDENTIAL FACILITIES LICENSING