NPI 1003214370

Ordinary Lifestyles, LLC

Organisation Adult Care Home Facility Payson, AZ

Practice location

Address: 401 N Laredo Ln, Payson, AZ 85541-4389
Phone: (928) 595-2068
Fax: (888) 673-2528

Authorised official

Name: Karen Waters
Title: Owner
Phone: (928) 595-2068

Registered specialties (4)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AL4632H (AZ)

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Registry record

NPI: 1003214370
Entity type: Organization
NPI issued: 18 Dec 2014
Record last updated: 18 Dec 2014

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.