Organization · Type 2 NPI
South Mountain Holistic Care
Mental Illness Intermediate Care Facility · Laveen, AZ
NPI number
1770038564
Active
Practice location
3219 W Olney Ave
Laveen, AZ 85339-1783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | BH4914 (AZ) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1770038564
South Mountain Holistic Care's National Provider Identifier is 1770038564, issued on Aug 22, 2016. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Laveen, AZ. The record was last updated on Aug 22, 2016.