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South Mountain Holistic Care
Mental Illness Intermediate Care Facility in Laveen, Arizona
NPI 1770038564

South Mountain Holistic Care is a Mental Illness Intermediate Care Facility based in Laveen, AZ. South Mountain Holistic Care practices in Laveen, AZ. The NPI Number for South Mountain Holistic Care is 1770038564 and holds a License No. BH4914 (Arizona).

The current practice location address for South Mountain Holistic Care is 3219 W Olney Ave, Laveen, AZ and can be reached out via phone at 602-565-5909.

Location: 3219 W Olney Ave, Laveen, AZ, 85339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770038564
Provider Name
South Mountain Holistic Care
Credential
Provider Entity Type
Organization
Address
3219 W Olney Ave, Laveen, AZ, 85339
Phone Number
602-565-5909
Fax Number
Provider Enumeration Date
08/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3219 W Olney Ave
City
Laveen
State
Arizona
Zip
85339-1783
Phone Number
602-565-5909
Fax Number
person
Provider Business Mailing Address Details
Address
3219 W Olney Ave
City
Laveen
State
Arizona
Zip
85339-1783
Phone Number
602-565-5909
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
BH4914 (Arizona)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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