Individual provider · NPI-1

Angelo Acsayan

Assisted Living Facility · Mesa, AZ

NPI number1962855296
StatusActive
Last updated in NPPESJul 21, 2016

Details

NPI
1962855296
Entity type
Individual (NPI-1)
Name
Angelo Acsayan
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 21, 2016
Last updated
Jul 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAL10036AZYes

Practice location

2955 E Mallory St
Mesa, AZ 85213-1667

Phone 480-654-8196 · Fax 480-275-2609

Mailing address

2955 E Mallory St
Mesa, AZ 85213-1667

Phone 480-654-8196 · Fax 480-275-2609

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