Organization
MRSC AZ MESA MASTER TENANT, LLC
Active
Other names
Visions Senior Living at Mesa 2
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LANGENDOEN (CO-MANAGER)
(626) 796-8700
Entity
Organization
Contact information
Practice address
537 S HIGLEY RD BLDG 2, MESA, AZ 85206-2148
(480) 247-9880
Mailing address
537 S HIGLEY RD BLDG 2, MESA, AZ 85206-2148
(480) 247-9880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10067C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149133
—
AZ
05
—
149278
—
AZ
Enumeration date
09/16/2016
Last updated
02/05/2025
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