Organization
CLASS ACT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA J RICHARDS (OWNER)
(480) 464-9958
Entity
Organization
Contact information
Practice address
2156 E GLENCOVE ST, MESA, AZ 85213-4611
(480) 464-9958
Mailing address
10793 E SKEEPY HOLLOW TR, GOLD CANYON, AZ 85218
(480) 496-0817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACH033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425604
AHCCCS
AZ
Enumeration date
06/11/2007
Last updated
08/22/2020
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