NPI 1003081860

M E D Services

Organisation Adult Care Home Facility Mesa, AZ

Practice location

Address: 3759 E Clovis Ave, Mesa, AZ 85206-1841
Phone: (480) 325-3890
Fax: (480) 986-1544

Authorised official

Name: Donald Edward Stinson
Title: Co-Owner / Manager
Phone: (480) 654-4563

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALH4645 (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1003081860
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 23 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.