Heritage Village Bldg 8 LLC
Assisted Living Facility in Mesa, AZ. Organization (NPI-2).
NPI number1982253043
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1982253043
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Village Bldg 8 LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
8035 E Brown Rd Bldg 8Mesa, AZ 85207-3902
Phone 480-686-8540
Mailing address
8035 E Brown Rd Bldg 8Mesa, AZ 85207-3902
Authorized official
Nate Porter
Regional Director
8016443640
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