NPI: 1053615906
Provider Name: HERITAGE LIFE CENTER LLC
Doing Business As: HERITAGE LANE BEHAVIORAL ASSISTED LIVING
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
1040 S LEBARON
MESA, AZ
ZIP 85210
Phone: (480) 307-8809
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HERITAGE LIFE CENTER LLC is an assisted living and mental illness assisted living facility in Mesa, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HERITAGE LIFE CENTER LLC NPI is 1053615906. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Lane Behavioral Assisted Living.
The provider's business location address is:
1040 S LEBARON
MESA, AZ
ZIP 85210-631
Phone: (480) 307-8809
Fax: (480) 781-0019
The provider's authorized official is Reed T Gunnell .
The authorized official title is Owner and has the following contact phone number (480) 307-8809.
The enumeration date for this NPI number is 1/7/2011 and was last updated on 5/5/2022.