institution
Legacy Senior Management Llc
Mental Illness Community Based Residential Treatment Facility in Mesa, Arizona
NPI 1780177535

Legacy Senior Management Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Legacy Senior Management Llc practices in Mesa, AZ. The NPI Number for Legacy Senior Management Llc is 1780177535 and holds a License No. BH5449 (Arizona).

The current practice location address for Legacy Senior Management Llc is 152 N 56Th St Ste B, Mesa, AZ and can be reached out via phone at 480-985-0680 and via fax at 480-396-6231. You can also correspond with Legacy Senior Management Llc through the mailing address at 3602 E GREENWAY RD STE 104, PHOENIX, AZ - 85032-4648 (mailing address contact number: 602-368-8203).

Location: 152 N 56Th St Ste B, Mesa, AZ, 85032-4648
institution
Provider Profile Details
NPI Number
1780177535
Provider Name
Legacy Senior Management Llc
Credential
Provider Entity Type
Organization
Address
152 N 56Th St Ste B, Mesa, AZ, 85032-4648
Phone Number
480-985-0680
Fax Number
480-396-6231
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH5449 01 AZ ARIZONA DEPARTMENT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
152 N 56Th St Ste B
City
State
Zip
85205-8718
Phone Number
480-985-0680
Fax Number
480-396-6231
person
Provider Business Mailing Address Details
Address
3602 E Greenway Rd Ste 104
City
State
Zip
85032-4648
Phone Number
602-368-8203
Fax Number
602-368-8211
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH5449 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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