THIRD STREET HOME
Adult Care Home
Mesa, Arizona
Provider NPI: 1154511202
Organization Information:Organization Name: THIRD STREET HOME
Practice Location:
1053 E 3RD ST MESA, AZ 85203 US
Tel: 480-610-6974 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1053 E 3RD ST MESA, AZ 85203 US
Tel: 480-610-6974 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AZ | ALH-4846 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AZ | ALH-4846 |