Organization · Type 2 NPI

El Mirage Group Home

Assisted Living Facility · El Mirage, AZ

NPI number 1801099692 Active

Practice location

13045 W Port Royale Ln
El Mirage, AZ 85335-3428

Fax (623) 582-8178

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XALH-5221 (AZ)

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.

3 other providers at this address

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About NPI 1801099692

El Mirage Group Home's National Provider Identifier is 1801099692, issued on Jun 8, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in El Mirage, AZ. The record was last updated on Aug 22, 2020.