Individual provider · Type 1 NPI
Sam Ile
Assisted Living Facility (Behavioral Disturbances) · Anthem, AZ
Practice location
40401 N. Copper Basin Trail
Anthem, AZ 85086-8508
Fax (623) 321-8797
Mailing address
39506 N. Daisy Mountain Drive, Ste 122-627
Anthem, AZ 85086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) Primary | 3104A0630X | None listed |
Assisted Living Facility (Behavioral Disturbances): A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
About NPI 1326508953
Sam Ile's National Provider Identifier is 1326508953, issued on Mar 20, 2019. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Anthem, AZ. The record was last updated on Mar 20, 2019.