Stevan A Polus Valid NPI
Individual provider · Assisted Living Facility · Peoria, AZ
- NPI
- 1588413231
- Type
- Individual (Type 1)
- Primary specialty
- Assisted Living Facility
- Specialty group
- Nursing & Custodial Care Facilities
- Taxonomy code
- 310400000X
- License number
- ALH11503H (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
Practice location
10430 W Royal Palm Rd
Peoria, AZ 85345
(602) 481-8746