Organization
HERITAGE VILLAGE 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HENLEY (DIRECTOR OF FINANCE)
(480) 686-8540
Entity
Organization
Contact information
Practice address
8035 E BROWN RD, BLDG#5, MESA, AZ 85207-3901
(480) 388-1499
Mailing address
8035 E BROWN RD, BLDG #5, MESA, AZ 85207-3901
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9267C
AZ
Other
Enumeration date
05/19/2016
Last updated
06/02/2016
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