Organization
HERITAGE LIFE CENTER LLC
Active
Other names
Heritage Lane Behavioral Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REED T GUNNELL (OWNER)
(480) 307-8809
Entity
Organization
Contact information
Practice address
1041 S LEBARON, MESA, AZ 85210-3630
(480) 307-8809
(480) 781-0019
Mailing address
1041 S LEBARON, MESA, AZ 85210-3630
(480) 307-8809
(480) 307-8949
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
05/05/2022
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