NPI 1023841608

Ordinary Lifestyles, LLC

Organisation Adult Care Home Facility Payson, AZ

Practice location

Address: 205 W Bonita St, Payson, AZ 85541-5093
Phone: (928) 595-2068
Mailing address: 401 N Laredo Ln, Payson, AZ 85541-4389

Authorised official

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

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1023841608
Entity type: Organization
NPI issued: 20 Aug 2024
Record last updated: 20 Aug 2024

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.