Organization · Type 2 NPI
Ponderosa Senior Assisted Living, LLC
Clinic/Center · Bellemont, AZ
NPI number
1841474723
Active
Practice location
4490 N Bellemont Springs
Bellemont, AZ 86015
Mailing address
PO Box 16193
Bellemont, AZ 86015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1841474723
Ponderosa Senior Assisted Living, LLC's National Provider Identifier is 1841474723, issued on Dec 27, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bellemont, AZ. The record was last updated on Dec 27, 2007.