institution
Ordinary Lifestyles, Llc
Adult Care Home Facility in Payson, Arizona
NPI 1003214370

Ordinary Lifestyles, Llc is an Adult Care Home Facility based in Payson, AZ and is specialized in Adult Care Home. Ordinary Lifestyles, Llc practices in Payson, AZ. The NPI Number for Ordinary Lifestyles, Llc is 1003214370 and holds a License No. AL4632H (Arizona).

The current practice location address for Ordinary Lifestyles, Llc is 401 N Laredo Ln, Payson, AZ and can be reached out via phone at 928-595-2068 and via fax at 888-673-2528.

Location: 401 N Laredo Ln, Payson, AZ, 85541-4389
institution
Provider Profile Details
NPI Number
1003214370
Provider Name
Ordinary Lifestyles, Llc
Credential
Provider Entity Type
Organization
Address
401 N Laredo Ln, Payson, AZ, 85541-4389
Phone Number
928-595-2068
Fax Number
888-673-2528
Provider Enumeration Date
12/18/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
854100 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
401 N Laredo Ln
City
State
Zip
85541-4389
Phone Number
928-595-2068
Fax Number
888-673-2528
person
Provider Business Mailing Address Details
Address
401 N Laredo Ln
City
State
Zip
85541-4389
Phone Number
928-595-2068
Fax Number
888-673-2528
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
AL4632H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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