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BREA EAST MESA, LLC

Alzheimer Center

Mesa, Arizona

Provider NPI: 1740322114

Organization Information:
Organization Name:  BREA EAST MESA, LLC


Practice Location:
6145 EAST ARBOR AVENUE  MESA, AZ 85206 US
Tel: 480-832-1300  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
AZALC-4498
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AZALC-6785
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AZAL6354C

Other Provider Identifiers:

IssuerNumberStateType
205629AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS AZ - Page 1



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