Individual provider · Type 1 NPI
Letrice Nicole Gilmore
Assisted Living Facility · Florence, AZ
NPI number
1750272142
Active
Practice location
24117 N Mojave Ln
Florence, AZ 85132-5209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | None listed |
| 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.
About NPI 1750272142
Letrice Nicole Gilmore's National Provider Identifier is 1750272142, issued on Jul 14, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Florence, AZ. The record was last updated on Jul 14, 2025.