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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE LEGACY ASSISTED LIVING

Active Organization

PROVIDENCE LEGACY ASSISTED LIVING is a Assisted Living Facility organization located in QUEEN CREEK, Arizona. NPI 1285946475 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · QUEEN CREEK, AZ

Registration Details

NPI Number
1285946475
Provider Type
Organization
NPI Issued
Jul 6, 2010 (16.152748162722 yrs)
Last Updated
Jul 6, 2010
License
AL7937 (AZ)

Practice Information

Address
4812 E MEADOW MIST LN
QUEEN CREEK, AZ, 851405222
Browse AZ providers · Browse ZIP 85140
Phone
4803881151
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.