NPI 1861225443
Ordinary Lifestyles, LLC
Practice location
- Address
- 207 E Zurich Dr, Payson, AZ 85541-4055
- 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
Registry record
- NPI
- 1861225443
- 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.