Organization
CLASS ACT LOS ALAMOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE BURGHER (MANAGING PARTNER)
(480) 710-1154
Entity
Organization
Contact information
Practice address
1249 N LOS ALAMOS, MESA, AZ 85213-4227
(480) 710-1154
Mailing address
1249 N LOS ALAMOS, MESA, AZ 85213-4227
(480) 710-1154
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8080H
AZ
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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