institution
412 S 30th St Llc
Assisted Living Facility in Mesa, Arizona
NPI 1821874934

412 S 30th St Llc is an Assisted Living Facility based in Mesa, AZ. 412 S 30th St Llc practices in Mesa, AZ. The NPI Number for 412 S 30th St Llc is 1821874934 and holds a License No. (Arizona).

The current practice location address for 412 S 30th St Llc is 412 S 30Th St, Mesa, AZ and can be reached out via phone at 480-584-5666 and via fax at 480-588-5460.

Location: 412 S 30Th St, Mesa, AZ, 85204-3111
institution
Provider Profile Details
NPI Number
1821874934
Provider Name
412 S 30th St Llc
Credential
Provider Entity Type
Organization
Address
412 S 30Th St, Mesa, AZ, 85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
Provider Enumeration Date
09/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
412 S 30Th St
City
State
Zip
85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
person
Provider Business Mailing Address Details
Address
412 S 30Th St
City
State
Zip
85204-3111
Phone Number
480-584-5666
Fax Number
480-588-5460
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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