NPI 1073859641

Sierra Vista Assistant Living LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Laveen, AZ

Practice location

Address: 3331 W Ian Dr, Laveen, AZ 85339-3805
Phone: (602) 628-3642

Authorised official

Name: Jia Seidel
Title: Owner/Manager
Phone: (602) 628-3642

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AL8772H (AZ)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1073859641
Entity type: Organization
NPI issued: 29 Dec 2012
Record last updated: 22 Jan 2013

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.