IndividualActive
Andre Polus
NPI 1437041910 · Assisted Living Facility · Glendale, AZ
Provider details
- NPI number
- 1437041910
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL10052H (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7886 W Piute Ave
Glendale, AZ 85308-6167
Phone: (818) 397-0863
Fax: (623) 388-6704
Approximate (ZIP-level) locationGet directions
Mailing address
7886 W Piute Ave
Glendale, AZ 85308-6167
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.