Organization
AMS LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PADILLA (ADMINISTRATOR)
(480) 760-5303
Entity
Organization
Contact information
Practice address
3058 E NANCE ST, MESA, AZ 85213-1644
(480) 760-5303
Mailing address
3058 E NANCE ST, MESA, AZ 85213-1644
(480) 760-5303
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
02/16/2021
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