BLACKBIRD SENIOR LIVING INC. NPI 1093467623

NPI Information

BLACKBIRD SENIOR LIVING, INC. is an 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 assistance and/or monitoring to assure safety and well being. BLACKBIRD SENIOR LIVING, INC. NPI is 1093467623. The provider is registered as an organization entity type.

The provider's business location address is:

520 S HIGLEY RD
MESA, AZ
ZIP 85206-153
Phone: (480) 832-7600
Fax: (480) 832-3860

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 1/25/2022.

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:

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