Healthcare Provider Details

I. General information

NPI: 1629934294
Provider Name (Legal Business Name): ARROWHEAD SENIOR LIVING II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6958 W KRISTAL WAY
GLENDALE AZ
85308-5796
US

IV. Provider business mailing address

6958 W KRISTAL WAY
GLENDALE AZ
85308-5796
US

V. Phone/Fax

Practice location:
  • Phone: 602-794-5298
  • Fax:
Mailing address:
  • Phone: 602-794-5298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MANUEL SANDOVAL
Title or Position: OWNER
Credential:
Phone: 602-794-5298