Organization · Type 2 NPI
Destination Assisted Living Home LLC
Assisted Living Facility · Mesa, AZ
NPI number
1376356253
Active
Practice location
11238 E Utah Ave
Mesa, AZ 85212-6534
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.
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About NPI 1376356253
Destination Assisted Living Home LLC's National Provider Identifier is 1376356253, issued on Jan 27, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesa, AZ. The record was last updated on Jan 27, 2025.