Organization
215 WEST BROWN ROAD OPERATIONS LLC
Active
Other names
Mesa Christian Residential Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
215 W BROWN RD, MESA, AZ 85201
(480) 461-1552
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2254
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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