MEHRY LYN MOSES CLS
NPI 1659987998
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since September 22, 2020
1816 E WHITTON AVE, PHOENIX, AZ 85016(928) 380-8641 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mehry Lyn Moses Cls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEHRY LYN MOSES CLS (NPI 1659987998) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Phoenix, Arizona and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1659987998
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMEHRY LYN MOSESCredential: CLS
Location Address1816 E WHITTON AVEPhoenix, AZ 85016-6416
Mailing Address1816 E Whitton AvePhoenix, AZ 85016-6416 · (928) 380-8641
Sole ProprietorYes
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1659987998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedHomemakerTaxonomy 376J00000X
1816 E WHITTON AVE, Phoenix, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659987998, enumerated as an "individual" on September 22, 2020.

The provider is located at 1816 E WHITTON AVE PHOENIX, AZ 85016 and the phone number is (928) 380-8641.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.