Organization
HERITAGE VILLAGE,5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN JAMES HOSAC MANAGER (MANAGEMENT/OPERATIONS)
(480) 686-8540
Entity
Organization
Contact information
Practice address
8035 E BROWN RD, MESA, AZ 85207-3900
(480) 686-8540
Mailing address
8035 E BROWN RD, MESA, AZ 85207-3900
(480) 686-8540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9267C
AZ
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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