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Third Street Home
Adult Care Home Facility in Mesa, Arizona
NPI 1154511202

Third Street Home is an Adult Care Home Facility based in Mesa, AZ and is specialized in Adult Care Home. Third Street Home practices in Mesa, AZ. The NPI Number for Third Street Home is 1154511202 and holds a License No. ALH-4846 (Arizona).

The current practice location address for Third Street Home is 1053 E 3Rd St, Mesa, AZ and can be reached out via phone at 480-610-6974 and via fax at 480-610-6974.

Location: 1053 E 3Rd St, Mesa, AZ, 85203-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154511202
Provider Name
Third Street Home
Credential
Provider Entity Type
Organization
Address
1053 E 3Rd St, Mesa, AZ, 85203-8001
Phone Number
480-610-6974
Fax Number
480-610-6974
Provider Enumeration Date
07/25/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1053 E 3Rd St
City
Mesa
State
Arizona
Zip
85203-8001
Phone Number
480-610-6974
Fax Number
480-610-6974
person
Provider Business Mailing Address Details
Address
1053 E 3Rd St
City
Mesa
State
Arizona
Zip
85203-8001
Phone Number
480-610-6974
Fax Number
480-610-6974
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
ALH-4846 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
ALH-4846 (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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