SIERRA VISTA ASSISTANT LIVING LLC NPI 1073859641

NPI Information

SIERRA VISTA ASSISTANT LIVING LLC is a residential treatment facility, intellectual and/or developmental disabilities in Laveen, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SIERRA VISTA ASSISTANT LIVING LLC NPI is 1073859641. The provider is registered as an organization entity type.

The provider's business location address is:

3331 W IAN DR
LAVEEN, AZ
ZIP 85339-805
Phone: (602) 628-3642

The provider's authorized official is Jia Seidel .
The authorized official title is Owner/manager and has the following contact phone number (602) 628-3642.

The enumeration date for this NPI number is 12/29/2012 and was last updated on 1/22/2013.

Taxonomy Codes

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Other Identifiers

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