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Ponderosa Assisted Living
Assisted Living Facility in Williams, Arizona
NPI 1912142324

Ponderosa Assisted Living is an Assisted Living Facility based in Bellemont, AZ. Ponderosa Assisted Living practices in Williams, AZ. The NPI Number for Ponderosa Assisted Living is 1912142324 and holds a License No. (Arizona).

The current practice location address for Ponderosa Assisted Living is 826 Hereford Dr, Williams, AZ and can be reached out via phone at 928-635-4179.

Location: 826 Hereford Dr, Williams, AZ, 86015-6153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912142324
Provider Name
Ponderosa Assisted Living
Credential
Provider Entity Type
Organization
Address
826 Hereford Dr, Williams, AZ, 86015-6153
Phone Number
928-635-4179
Fax Number
Provider Enumeration Date
12/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
826 Hereford Dr
City
Williams
State
Arizona
Zip
86046-9789
Phone Number
928-635-4179
Fax Number
person
Provider Business Mailing Address Details
Address
826 Hereford Dr
City
Williams
State
Arizona
Zip
86046-9789
Phone Number
928-635-4179
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Arizona)
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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