Organization · Type 2 NPI

Life Sonoran Homnes

Adult Care Home Facility · Mesa, AZ

NPI number 1114296332 Active

Practice location

2036 E Calle Maderas
Mesa, AZ 85213-2910

Fax (480) 461-0069

Mailing address

PO Box 8998
Mesa, AZ 85214-8998

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1114296332

Life Sonoran Homnes's National Provider Identifier is 1114296332, issued on Dec 16, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Mesa, AZ. The record was last updated on Dec 16, 2011.