Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Henry Martin Lico

Individual provider Assisted Living Facility · NPI 1003432667

John Henry Martin Lico is an Assisted Living Facility in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

15244 W Watson Ln
Surprise, AZ 85379-7040
Phone: (623) 227-9697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL11496H (AZ)

Record details

NPI number1003432667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2020
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

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