Evergreen At Mesa (alf), L.l.c.

NPI 1093914004 - Assisted Living Facility - 310400000X

NPI Details
NPI 1093914004
Enumeration Date 07/11/2007
Last Updated 07/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANNE ANNE
Position MANAGER
Phone (480) 668-6118
Fax (480) 461-1552
Practice Location
215 W BROWN RD
MESA AZ, 85201-3415, US
Phone (480) 668-6118
Fax (480) 461-1552
Business Location
215 W BROWN RD
MESA AZ, 85201-3415, US
Phone (480) 668-6118
Fax (480) 461-1552
Toxanomy
Taxonomy Code 310400000X
License State Arizona
License Number ALC-5063
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According to our database, Evergreen At Mesa (alf), L.l.c. NPI is 1093914004, taxonomy code is 310400000X and license number is ALC-5063, license state is located at Arizona. Evergreen At Mesa (alf), L.l.c. physically located at 215 W Brown Rd, Mesa AZ, 85201-3415. NPI Number 1033115704 has the healthcare provider type.

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1093914004 NPI number is provided on an as is basis without warranty of any kind. 1093914004 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen At Mesa (alf), L.l.c. are for informational purposes only.