Organization
MIRABELLA AT ASU, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DOROUGH (EXECUTIVE DIRECTOR)
(480) 371-6101
Entity
Organization
Contact information
Practice address
65 E UNIVERSITY DR, TEMPE, AZ 85281-1091
(602) 777-7701
Mailing address
1 W MAIN ST STE 303, MEDFORD, OR 97501-2796
(888) 724-6424
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
12/11/2025
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