John Henry Martin Lico is an assisted living facility in Surprise, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. John Henry Martin Lico NPI is 1003432667. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15244 W WATSON LN
SURPRISE, AZ
ZIP 85379-040
Phone: (623) 227-9697
The enumeration date for this NPI number is 6/19/2020 and was last updated on 6/19/2020.