Heritage Life Center Llc Dba Heritage Lane

NPI 1053615906 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053615906
Enumeration Date 01/07/2011
Last Updated 05/07/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name REED T REED
Position OWNER
Phone (480) 307-8809
Fax (480) 307-8803
Practice Location
1040 S LEBARON
MESA AZ, 85210-3631, US
Phone (480) 307-8809
Fax (480) 307-8803
Business Location
1040 S LEBARON
MESA AZ, 85210-3631, US
Phone (480) 307-8809
Fax (480) 307-8803
Toxanomy
Taxonomy Code 310400000X
License State Arizona
License Number AL7718C
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According to our database, Heritage Life Center Llc Dba Heritage Lane NPI is 1053615906, taxonomy code is 310400000X and license number is AL7718C, license state is located at Arizona. Heritage Life Center Llc Dba Heritage Lane physically located at 1040 S Lebaron, Mesa AZ, 85210-3631. NPI Number 1033115704 has the healthcare provider type.

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1053615906 NPI number is provided on an as is basis without warranty of any kind. 1053615906 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Life Center Llc Dba Heritage Lane are for informational purposes only.