Organization
VIEW POINT FAIRMONT VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MOCKBEE (SOLE MEMBER)
(623) 526-8600
Entity
Organization
Contact information
Practice address
10401 N 79TH AVE, PEORIA, AZ 85345-0742
(623) 526-8600
(623) 533-5399
Mailing address
10401 N 79TH AVE, PEORIA, AZ 85345-0742
(623) 526-8600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11352C
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
02/27/2020
Last updated
07/27/2020
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