NPI 1659247906
Shared Spaces LLC
Practice location
- Address
- 42105 W Cheyenne Dr, Maricopa, AZ 85138-3356
- Phone
- (602) 319-8130
- Fax
- (520) 568-2709
Authorised official
- Name
- Carolyn Lacy
- Title
- DO
- Phone
- (602) 319-8130
Registered specialties (11)
Case Management Agency
Primary
Meals Provider
Lodging Provider
Developmentally Disabled Services Day Training Agency
Home Health Agency
Foster Care Agency
In Home Supportive Care Agency
Adult Day Care Clinic/Center
Adult Mental Health Clinic/Center
Prison Health Clinic/Center
Assisted Living Facility
Registry record
- NPI
- 1659247906
- Entity type
- Organization
- NPI issued
- 14 Oct 2025
- Record last updated
- 14 Oct 2025
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.