Organization · Type 2 NPI

412 S 30th ST LLC

Assisted Living Facility · Mesa, AZ

NPI number 1821874934 Active

Practice location

412 S 30th St
Mesa, AZ 85204-3111

Call (480) 584-5666 Map

Fax (480) 588-5460

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

3 other providers at this address

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About NPI 1821874934

412 S 30th ST LLC's National Provider Identifier is 1821874934, issued on Sep 5, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 5, 2023.