Organization · Type 2 NPI

Providence Legacy Assisted Living

Assisted Living Facility · Queen Creek, AZ

NPI number 1285946475 Active

Practice location

4812 E Meadow Mist Ln
Queen Creek, AZ 85140-5222

Call (480) 388-1151 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL7937 (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 1285946475

Providence Legacy Assisted Living's National Provider Identifier is 1285946475, issued on Jul 6, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Queen Creek, AZ. The record was last updated on Jul 6, 2010.