Alegre Care Home

Organization Active NPI Assisted Living Facility · Phoenix, AZ

NPI 1487979233 · NPPES record last updated Apr 6, 2010

Key facts

NPI
1487979233
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
AL7051H (AZ)
Legal business name
ALEGRE CARE HOME
Practice address
4232 W Waltann LN
Phoenix, AZ 85053-3772
Phone
(602) 281-6512
Fax
(602) 281-6512
NPI assigned
Apr 6, 2010
Organization subpart
No

Authorized official

Name
Mr. Paul Pucti
Title
Owner/Administrator
Phone
(602) 281-6512

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7051H AZ Yes

Addresses

Primary practice location

4232 W Waltann LN
Phoenix, AZ 85053-3772

Mailing address

4232 W Waltann LN
Phoenix, AZ 85053-3772
Phone (602) 281-6512

Other identifiers

IdentifierTypeStateIssuer
411962OtherAZAHCCCS PROVIDER ID

Other names

  • West Pacific Medical Services Former legal business name

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Assisted Living Facility in Arizona

Sources for this page

Verify at the official NPI Registry.