Organization · Type 2 NPI

1217 Kenwood LLC

Assisted Living Facility · Mesa, AZ

NPI number 1982464095 Active

Practice location

1217 E Kenwood St
Mesa, AZ 85203

Call (480) 646-2414 Map

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.

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About NPI 1982464095

1217 Kenwood LLC's National Provider Identifier is 1982464095, issued on Mar 19, 2024. 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 20, 2024.