Organization
MESA I ENTERPRISES, LLC
Active
Other names
Greenfields Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
723 E 2ND AVE, MESA, AZ 85204-1039
(480) 649-3911
(480) 649-1330
Mailing address
723 E 2ND AVE, MESA, AZ 85204-1039
(480) 649-3911
(480) 649-1330
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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