Organization · Type 2 NPI

Third Street Home

Assisted Living Facility · Mesa, AZ

NPI number 1154511202 Active

Practice location

1053 E 3rd St
Mesa, AZ 85203-8001

Call (480) 610-6974 Map

Fax (480) 610-6974

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XALH-4846 (AZ)
Adult Care Home Facility 311ZA0620XALH-4846 (AZ)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1154511202

Third Street Home's National Provider Identifier is 1154511202, issued on Jul 25, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 25, 2007.