Organization
ORDINARY LIFESTYLES, LLC
Active
Parent organization
ORDINARY LIFESTYLES, LLC
Other names
Ordinary Lifestyles IV
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORDINARY LIFESTYLES, LLC
Authorized official
KAREN WATERS (MEMBER MANAGER)
(928) 595-2068
Entity
Organization
Contact information
Practice address
205 W BONITA ST, PAYSON, AZ 85541-5093
(928) 595-2068
Mailing address
401 N LAREDO LN, PAYSON, AZ 85541-4389
(928) 595-2068
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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