Organization · NPI-2

Ams Living, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Mesa, AZ

NPI number1285245407
StatusActive
Last updated in NPPESFeb 16, 2021

Details

NPI
1285245407
Entity type
Organization (NPI-2)
Legal business name
Ams Living, LLC
Organization subpart
No
Enumeration date
Aug 11, 2020
Certification date
Feb 16, 2021
Last updated
Feb 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

3058 E Nance St
Mesa, AZ 85213-1644

Phone 480-760-5303

Mailing address

3058 E Nance St
Mesa, AZ 85213-1644

Phone 480-760-5303

Authorized official

Stephanie Padilla
Administrator
4807605303

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