Provider Demographics
NPI:1770205619
Name:BURLACU, GABRIELA CRISTINA (MANAGER)
Entity type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:CRISTINA
Last Name:BURLACU
Suffix:
Gender:F
Credentials:MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25661 N DESERT MESA DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-6830
Mailing Address - Country:US
Mailing Address - Phone:623-792-7185
Mailing Address - Fax:623-792-7064
Practice Address - Street 1:25661 N DESERT MESA DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-6830
Practice Address - Country:US
Practice Address - Phone:623-792-7185
Practice Address - Fax:623-792-7064
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL12297H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility