Organization
CITRUS VILLA MESA ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICK SOTELO (OWNER)
(760) 464-6386
Entity
Organization
Contact information
Practice address
6848 E MINTON ST, MESA, AZ 85207-1098
(760) 464-6386
Mailing address
10719 E TESLA AVE, MESA, AZ 85212-8663
(760) 464-6386
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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