NPI 1649718347

Assisted Lifestyles

Organisation Preferred Provider Organization Flagstaff, AZ

Practice location

Address: 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921
Phone: (928) 326-0044

Authorised official

Name: Dwight C Boyd
Title: Ceo
Phone: (928) 326-0044

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Arizona →

Private Vehicle

Transportation Services Taxonomy 347C00000X

Other Private Vehicle providers in Arizona →

Registry record

NPI: 1649718347
Entity type: Organization
NPI issued: 2 Feb 2017
Record last updated: 2 Feb 2017

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.