# MIRABELLA AT ASU, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558954552
- **Authorized official:** THOMAS DOROUGH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (480) 371-6101

## Contact information

- **Practice address:** 65 E UNIVERSITY DR, TEMPE, AZ 85281-1091
- **Practice address phone:** (602) 777-7701
- **Mailing address:** 1 W MAIN ST STE 303, MEDFORD, OR 97501-2796
- **Mailing address phone:** (888) 724-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 12/11/2025