Organization · Type 2 NPI

Heritage Life Center LLC

Assisted Living Facility (Mental Illness) · Mesa, AZ

NPI number 1053615906 Active

Practice location

1040 S Lebaron
Mesa, AZ 85210-3631

Fax (480) 781-0019

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	AL7718C (AZ)
Assisted Living Facility (Mental Illness) Primary	3104A0625X	None listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1053615906

Heritage Life Center LLC's National Provider Identifier is 1053615906, issued on Jan 7, 2011. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Mesa, AZ. The record was last updated on May 5, 2022.