Organization
MESA GRANDE SENIOR LIVING, INC.
Active
Other names
The Citadel Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization
Contact information
Practice address
520 S HIGLEY RD, MESA, AZ 85206-2153
(480) 832-7600
Mailing address
520 S HIGLEY RD, MESA, AZ 85206-2153
(480) 832-7600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
01/23/2020
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