AVISTA SENIOR LIVING DESERT SPRINGS LLC NPI 1538652540

NPI Information

AVISTA SENIOR LIVING DESERT SPRINGS, LLC is an assisted living facility in Phoenix, 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. AVISTA SENIOR LIVING DESERT SPRINGS, LLC NPI is 1538652540. The provider is registered as an organization entity type.
The provider Is Doing Business As Avista Senior Living North Mountain.

The provider's business location address is:

350 E EVA ST
PHOENIX, AZ
ZIP 85020-564
Phone: (602) 997-6224
Fax: (602) 944-4199

The provider's authorized official is Candice Fine .
The authorized official title is Authorized Agent and has the following contact phone number (480) 244-9173.

The CLIA number assigned to this NPI record is 03D1088326 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.

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:

Other Identifiers

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