LIVE WELL ASSISTED LIVING NPI 1295175719

NPI Information

NPI: 1295175719
Provider Name: LIVE WELL ASSISTED LIVING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
12634 W ESTERO LN
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (602) 214-9544
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LIVE WELL ASSISTED LIVING is a mental health counselor in Litchfield Park, AZ. LIVE WELL ASSISTED LIVING NPI is 1295175719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12634 W ESTERO LN
LITCHFIELD PARK, AZ
ZIP 85340-156
Phone: (602) 214-9544
Fax: (623) 266-4688

The provider's authorized official is Desire Rusingizwa .
The authorized official title is Program Director and has the following contact phone number (602) 214-9544.

The enumeration date for this NPI number is 6/28/2013 and was last updated on 6/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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