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Sierra Vista Assistant Living Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Laveen, Arizona
NPI 1073859641

Sierra Vista Assistant Living Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Laveen, AZ. Sierra Vista Assistant Living Llc practices in Laveen, AZ. The NPI Number for Sierra Vista Assistant Living Llc is 1073859641 and holds a License No. AL8772H (Arizona).

The current practice location address for Sierra Vista Assistant Living Llc is 3331 W Ian Dr, Laveen, AZ and can be reached out via phone at 602-628-3642.

Location: 3331 W Ian Dr, Laveen, AZ, 85339-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073859641
Provider Name
Sierra Vista Assistant Living Llc
Credential
Provider Entity Type
Organization
Address
3331 W Ian Dr, Laveen, AZ, 85339-3805
Phone Number
602-628-3642
Fax Number
Provider Enumeration Date
12/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10733859641 05 AZ
institution
Provider Business Practice Location Address Details
Address
3331 W Ian Dr
City
Laveen
State
Arizona
Zip
85339-3805
Phone Number
602-628-3642
Fax Number
person
Provider Business Mailing Address Details
Address
3331 W Ian Dr
City
Laveen
State
Arizona
Zip
85339-3805
Phone Number
602-628-3642
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
AL8772H (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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