3Rd and Indian School Assisted Living Facility, LLC

Organization Active NPI Assisted Living Facility · Phoenix, AZ

NPI 1912716705 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1912716705
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
3RD AND INDIAN SCHOOL ASSISTED LIVING FACILITY, LLC
Practice address
4000 N 3Rd Ave
Phoenix, AZ 85013-1285
Phone
(217) 620-9874
NPI assigned
Jan 6, 2025
Organization subpart
No

Authorized official

Name
Jo Ellen Bleavins
Title
President and Ceo
Phone
(217) 620-9874

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

4000 N 3Rd Ave
Phoenix, AZ 85013-1285

Mailing address

121 W Wacker Dr Ste 400
Chicago, IL 60601-1781
Phone (217) 620-9874

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.