Organization
ARIZONA ALTERNATIVE SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE MULONDO RN, BSN (DIRECTOR)
(774) 253-7365
Entity
Organization
Contact information
Practice address
215 N HOBSON, MESA, AZ 85203-7921
(774) 253-7365
(480) 597-5252
Mailing address
215 N HOBSON, MESA, AZ 85203-7921
(774) 253-7365
(480) 597-5252
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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