Organization · Type 2 NPI

Lifestream Complete Senior Living Inc

Assisted Living Facility · Youngtown, AZ

NPI number 1205456084 Active

Practice location

11525 W Peoria Ave
Youngtown, AZ 85363-1640

Call (623) 933-3333 Map

Mailing address

11555 W Peoria Ave
Youngtown, AZ 85363-1640

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

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.

Other assisted living facility providers in Youngtown

See all in Youngtown →

NPI record

NPI: 1205456084
Entity type: Organization (Type 2)
Issued: Apr 21, 2020
Last updated: Apr 21, 2020
Status: Active
Subpart: Yes of Lifestream Complete Senior Living Inc

Other names

Lifestream at Youngtown Green House 1 · doing business as

Authorized official

Ronad Edward Estes
President
(623) 933-3333

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1205456084

Lifestream Complete Senior Living Inc's National Provider Identifier is 1205456084, issued on Apr 21, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Youngtown, AZ. The record was last updated on Apr 21, 2020.