SURPRISE RESIDENTIAL ASSISTED LIVING 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. SURPRISE RESIDENTIAL ASSISTED LIVING NPI is 1053539700. The provider is registered as an organization entity type.
The provider's business location address is:
17218 W STATLER ST
SURPRISE, AZ
ZIP 85388-265
Phone: (602) 369-1254
Fax: (602) 595-1659
The provider's authorized official is Shaiba Barry .
The authorized official title is Manager and has the following contact phone number (602) 404-8196.
The CLIA number assigned to this NPI record is 03D2245372 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.