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

MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.

Active Organization

MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC. is a 3104A0630X organization located in PRESCOTT VALLEY, Arizona. NPI 1467654814 is currently active in the NPPES registry. Verify at CMS.

3104A0630X · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1467654814
Provider Type
Organization
NPI Issued
Jun 5, 2007 (19.175162028014 yrs)
Last Updated
Sep 11, 2025
Licenses
BH-312 (AZ)
BH-1487 (AZ)

Practice Information

Address
HC 76 HWY 89 A N JUNCTION 151
PRESCOTT VALLEY, AZ, 863126485
Browse AZ providers · Browse ZIP 86312
Phone
6023352000
Primary Specialty
3104A0630X
3104A0630X
Additional Specialty
3104A0630X

Other 3104A0630X Organizations in PRESCOTT VALLEY, AZ

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.