Organization · NPI-2

605 S 30th Circle LLC

Community Based Residential Treatment Facility, Mental Illness · Mesa, AZ

NPI number1649972605

StatusActive

Last updated in NPPESMar 21, 2023

Details

NPI: 1649972605
Entity type: Organization (NPI-2)
Legal business name: 605 S 30th Circle LLC
Organization subpart: Yes
Enumeration date: Mar 21, 2023
Certification date: Mar 21, 2023
Last updated: Mar 21, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–	Yes

Other names

Ams Living LLC (Doing Business As)

Practice location

605 S 30th Cir
Mesa, AZ 85204-3119

Phone 480-760-5303

Mailing address

605 S 30th Cir
Mesa, AZ 85204-3119

Phone 480-760-5303

Authorized official

Stephanie Padilla
Owner
4807605303

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