Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN HENRY MARTIN LICO
Active Sole ProprietorJOHN HENRY MARTIN LICO is a Assisted Living Facility healthcare provider located in SURPRISE, Arizona. NPI 1003432667 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SURPRISE, AZ
Registration Details
- NPI Number
- 1003432667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2020 (6.131031508595 yrs)
- Last Updated
- Jun 19, 2020
- License
-
AL11496H (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15244 W WATSON LNSURPRISE, AZ, 853797040Browse AZ providers · Browse ZIP 85379
- Phone
- 6232279697
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. SAMICA BORDAS | — | 1396055919 |
| MS. SORIN RASTAU | — | 1609172550 |
| DAVE BAIR | — | 1437661436 |
| RODNEY JAMAR JOHNSON | RN | 1134617046 |
| PIA SLAVIN | — | 1245706928 |
| OLGA BUHAYO | — | 1144989708 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.