institution
412 Home Llc
Assisted Living Facility in Mesa, Arizona
NPI 1245016344

412 Home Llc is an Assisted Living Facility based in Mesa, AZ. 412 Home Llc practices in Mesa, AZ. The NPI Number for 412 Home Llc is 1245016344 and holds a License No. (Arizona).

The current practice location address for 412 Home Llc is 412 S 30Th St, Mesa, AZ and can be reached out via phone at 480-584-5666 and via fax at 480-588-5460.

Location: 412 S 30Th St, Mesa, AZ, 85204-3111
institution
Provider Profile Details
NPI Number
1245016344
Provider Name
412 Home Llc
Credential
Provider Entity Type
Organization
Address
412 S 30Th St, Mesa, AZ, 85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
Provider Enumeration Date
09/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
412 S 30Th St
City
State
Zip
85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
person
Provider Business Mailing Address Details
Address
412 S 30Th St
City
State
Zip
85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
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.
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