institution
Mingus Mountain Estate Residential Center, Inc.
Assisted Living Facility (Behavioral Disturbances) in Prescott Valley, Arizona
NPI 1497828503

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 Prescott Valley, AZ. The NPI Number for Mingus Mountain Estate Residential Center, Inc. is 1497828503 and holds a License No. BH-1487 (Arizona).

The current practice location address for Mingus Mountain Estate Residential Center, Inc. is 3801 N Robert Rd, Prescott Valley, 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: 3801 N Robert Rd, Prescott Valley, AZ, 86312-6485
institution
Provider Profile Details
NPI Number
1497828503
Provider Name
Mingus Mountain Estate Residential Center, Inc.
Credential
Provider Entity Type
Organization
Address
3801 N Robert Rd, Prescott Valley, AZ, 86312-6485
Phone Number
602-335-2095
Fax Number
602-249-1311
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
498057 05 AZ
institution
Provider Business Practice Location Address Details
Address
3801 N Robert Rd
City
State
Zip
86314-8107
Phone Number
602-335-2095
Fax Number
602-249-1311
person
Provider Business Mailing Address Details
Address
Po Box 26485
City
State
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
License No.
BH-1487 (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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