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LIBERY MANOR RESIDENY INC. NPI 1548356140


NPI Information

NPI: 1548356140
Provider Name: LIBERY MANOR RESIDENY, INC.

Doing Business As: LIBER MANOR RESIDENCY 2

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
13039 N 34TH DR
PHOENIX, AZ
ZIP 85029
Phone: (602) 441-2563
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LIBERY MANOR RESIDENY, INC. 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. LIBERY MANOR RESIDENY, INC. NPI is 1548356140. The provider is registered as an organization entity type.
The provider Is Doing Business As Liber Manor Residency 2.

The provider's business location address is:

13039 N 34TH DR
PHOENIX, AZ
ZIP 85029-216
Phone: (602) 441-2563
Fax: (602) 354-7129

The provider's authorized official is Maria Roxas .
The authorized official title is President and has the following contact phone number (602) 524-8124.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALH-5195ARIZONAYes
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessALH-5195ARIZONAX
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesALH-5195ARIZONAX

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

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