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Active Assisted Living, Llc
Physical Disabilities Residential Treatment Facility in Mesa, Arizona
NPI 1629198858

Active Assisted Living, Llc is a Physical Disabilities Residential Treatment Facility based in Mesa, AZ. Active Assisted Living, Llc practices in Mesa, AZ. The NPI Number for Active Assisted Living, Llc is 1629198858 and holds a License No. ALH-4567 (Arizona).

The current practice location address for Active Assisted Living, Llc is 758 S Toltec, Mesa, AZ and can be reached out via phone at 480-461-8272 and via fax at 480-461-4682.

Location: 758 S Toltec, Mesa, AZ, 85204-6005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629198858
Provider Name
Active Assisted Living, Llc
Credential
Provider Entity Type
Organization
Address
758 S Toltec, Mesa, AZ, 85204-6005
Phone Number
480-461-8272
Fax Number
480-461-4682
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ALH-4567 01 AZ ASSISTED LIVING LICENSE
institution
Provider Business Practice Location Address Details
Address
758 S Toltec
City
Mesa
State
Arizona
Zip
85204-3642
Phone Number
480-461-8272
Fax Number
480-461-4682
person
Provider Business Mailing Address Details
Address
758 S Toltec
City
Mesa
State
Arizona
Zip
85204-3642
Phone Number
480-461-8272
Fax Number
480-461-4682
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
ALH-4567 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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