LIFE SONORAN HOMNES NPI 1114296332

NPI Information

LIFE SONORAN HOMNES is an adult care home custodial care facility in Mesa, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LIFE SONORAN HOMNES NPI is 1114296332. The provider is registered as an organization entity type.

The provider's business location address is:

2036 E CALLE MADERAS
MESA, AZ
ZIP 85213-910
Phone: (480) 650-6685
Fax: (480) 461-0069

The provider's authorized official is Mike Fitzgerald .
The authorized official title is Manager and has the following contact phone number (480) 650-6685.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.

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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