Organization · Type 2 NPI

Liberty Manor Residency, Inc.

Assisted Living Facility (Mental Illness) · Phoenix, AZ

NPI number 1720174303 Active

Practice location

17632 N 5th Pl
Phoenix, AZ 85022-1809

Call (602) 441-2563 Map

Fax (602) 354-7129

Mailing address

6501 E Greenway Pkwy, Suite 103, Pmb 505
Scottsdale, AZ 85254-2065

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	ALH-4580 (AZ)
Assisted Living Facility (Mental Illness) Primary	3104A0625X	ALH-4580 (AZ)
Assisted Living Facility (Behavioral Disturbances)	3104A0630X	ALH-4580 (AZ)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Other assisted living facility (mental illness) providers in Phoenix

See all in Phoenix →

About NPI 1720174303

Liberty Manor Residency, Inc.'s National Provider Identifier is 1720174303, issued on Oct 4, 2006. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2025.