institution
Class Act Glencove Mesa, Llc
Assisted Living Facility in Mesa, Arizona
NPI 1548824162

Class Act Glencove Mesa, Llc is an Assisted Living Facility based in Mesa, AZ. Class Act Glencove Mesa, Llc practices in Mesa, AZ. The NPI Number for Class Act Glencove Mesa, Llc is 1548824162 and holds a License No. (Arizona).

The current practice location address for Class Act Glencove Mesa, Llc is 2156 E Glencove St, Mesa, AZ and can be reached out via phone at 480-464-9958.

Location: 2156 E Glencove St, Mesa, AZ, 85213-4611
institution
Provider Profile Details
NPI Number
1548824162
Provider Name
Class Act Glencove Mesa, Llc
Credential
Provider Entity Type
Organization
Address
2156 E Glencove St, Mesa, AZ, 85213-4611
Phone Number
480-464-9958
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AK1044OH 01 AZ LICENSE NUMBER
419737 01 AZ AZAHCCCS
institution
Provider Business Practice Location Address Details
Address
2156 E Glencove St
City
State
Zip
85213-4611
Phone Number
480-464-9958
Fax Number
person
Provider Business Mailing Address Details
Address
2156 E Glencove St
City
State
Zip
85213-4611
Phone Number
480-464-9958
Fax Number
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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