Organization
605 S 30TH CIRCLE LLC
Active
Parent organization
AMS LIVING, LLC
Other names
AMS LIVING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMS LIVING, LLC
Authorized official
STEPHANIE PADILLA (OWNER)
(480) 760-5303
Entity
Organization
Contact information
Practice address
605 S 30TH CIR, MESA, AZ 85204-3119
(480) 760-5303
Mailing address
605 S 30TH CIR, MESA, AZ 85204-3119
(480) 760-5303
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-3931252
—
AZ
Enumeration date
03/21/2023
Last updated
03/21/2023
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