19th Avenue Operations, LLC
19th Avenue Operations, LLC is an Assisted Living Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.
- Licensed in
- AZ
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6246 N 19th AvePhoenix, AZ 85015-1511
Phone: (602) 433-6300
Fax: (602) 433-6458
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence NCI-2694 (AZ) |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X · Licence AL10014C (AZ) |
| Assisted Living Facility | Taxonomy 310400000X · Licence AL10013C (AZ) |
Record details
| NPI number | 1649627423 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Clark — Authorized Representative · (310) 337-1929 |
| Other names | The Palazzo |
| NPI enumerated | May 20, 2016 |
| Last updated in NPPES | January 4, 2017 |
| Mailing address | 1000 Corporate Pointe, Suite 100, Culver City, CA 90230-7690 |
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