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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FIVE STAR GRANITE GATE, LLC

Active Organization

FIVE STAR GRANITE GATE, LLC is a Assisted Living Facility organization located in PRESCOTT, Arizona. NPI 1811191943 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PRESCOTT, AZ

Registration Details

NPI Number
1811191943
Provider Type
Organization
NPI Issued
Jun 13, 2007 (19.216065729904 yrs)
Last Updated
Sep 7, 2011
License
ALC-6120 (AZ)

Practice Information

Address
3850 NORTH US HIGHWAY 89
PRESCOTT, AZ, 86301
Browse AZ providers · Browse ZIP 86301
Phone
9287718200
Fax
9287718213
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.