Nina Nettles - Phoenix, AZ

Nina Nettles

Assisted Living Facility (Mental Illness) in Phoenix, Arizona

NPI 1124165469

Nina Nettles is an Assisted Living Facility (Mental Illness) based in Phoenix, AZ and is specialized in Assisted Living, Mental Illness. Nina Nettles practices in Phoenix, AZ. The NPI Number for Nina Nettles is 1124165469 and holds a License No. BH2458 (Arizona).

The current practice location address for Nina Nettles is 3643 E Emile Zola Ave, Phoenix, AZ and can be reached out via phone at 602-867-7500.

Location: 3643 E Emile Zola Ave, Phoenix, AZ, 85032-6219

NPI Number

1124165469

Provider Name

Nina Nettles

Credential

Provider Entity Type

Organization

Address

3643 E Emile Zola Ave, Phoenix, AZ, 85032-6219

Phone Number

602-867-7500

Fax Number

Provider Enumeration Date

01/30/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
873936	05	AZ
BH2458	01	AZ	STATE LICENCE

Address

3643 E Emile Zola Ave

City

Phoenix

State

Arizona

Zip

85032-6219

Phone Number

602-867-7500

Fax Number

Address

3643 E Emile Zola Ave

City

Phoenix

State

Arizona

Zip

85032-6219

Phone Number

602-867-7500

Fax Number

Type

Nursing & Custodial Care Facilities

Classification

Assisted Living Facility

Speciality

Assisted Living, Mental Illness

Taxonomy

3104A0625X

License No.

BH2458 (Arizona)

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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