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Mingus Mountain Estate Residential Center Inc
Assisted Living Facility (Behavioral Disturbances) in Dewey, Arizona
NPI 1114090925

Mingus Mountain Estate Residential Center Inc is an Assisted Living Facility (Behavioral Disturbances) based in Prescott Valley, AZ and is specialized in Assisted Living, Behavioral Disturbances. Mingus Mountain Estate Residential Center Inc practices in Dewey, AZ. The NPI Number for Mingus Mountain Estate Residential Center Inc is 1114090925 and holds a License No. BH-1122 (Arizona).

The current practice location address for Mingus Mountain Estate Residential Center Inc is 100 Dewey Road, Dewey, AZ and can be reached out via phone at 602-335-2095 and via fax at 602-249-1311. You can also correspond with Mingus Mountain Estate Residential Center Inc through the mailing address at PO BOX 26485, PRESCOTT VALLEY, AZ - 86312-6485 (mailing address contact number: 602-335-2095).

Location: 100 Dewey Road, Dewey, AZ, 86312-6485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114090925
Provider Name
Mingus Mountain Estate Residential Center Inc
Credential
Provider Entity Type
Organization
Address
100 Dewey Road, Dewey, AZ, 86312-6485
Phone Number
602-335-2095
Fax Number
602-249-1311
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
497744 05 AZ
institution
Provider Business Practice Location Address Details
Address
100 Dewey Road
City
Dewey
State
Arizona
Zip
86327
Phone Number
602-335-2095
Fax Number
602-249-1311
person
Provider Business Mailing Address Details
Address
Po Box 26485
City
Prescott Valley
State
Arizona
Zip
86312-6485
Phone Number
602-335-2095
Fax Number
602-249-1311
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
BH-1122 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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