Organization
MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC.
Active
Other names
Mingus Mountain Academy
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE MOSER (EXECUTIVE DIRECTOR)
(602) 335-2000
Entity
Organization
Contact information
Practice address
34218 N 26TH AVE, PHOENIX, AZ 85085-5008
(602) 335-2000
Mailing address
PO BOX 26485, PRESCOTT VALLEY, AZ 86312-6485
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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