Organization
MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC
Active
Organization
MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC
Active
Other names
Farrington House
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WILSON (SENIOR CREDENTIALING SPECIALISTS)
(602) 335-2000
Entity
Organization
Contact information
Practice address
100 DEWEY ROAD, FARRINGTON HOME, DEWEY, AZ 86327
(602) 335-2095
(602) 249-1311
Mailing address
2517 N GREAT WESTERN DR, PRESCOTT VALLEY, AZ 86314-2597
(602) 335-2000
(480) 534-7494
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
BH-1122
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497744
—
AZ
Enumeration date
11/17/2006
Last updated
03/10/2025
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