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Organization

HERITAGE VILLAGE BLDG1 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATE PORTER (CHIEF MARKETING OFFICER)
(801) 644-3640
Entity
Organization

Contact information

Practice address
8035 E BROWN RD, MESA, AZ 85207-3901
(480) 686-8540
Mailing address
8035 E BROWN RD, MESA, AZ 85207-3901
(480) 686-8540

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
08/07/2020
Last updated
08/07/2020
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