LIVE WELL ASSISTED LIVING LLC
NPI 1730846866
Community Based Residential Treatment Facility, Mental Illness in Glendale, AZ
- Organization
- Community Based Residential Treatment Fa...
About LIVE WELL ASSISTED LIVING LLC
This page provides the complete NPI Profile along with additional information for Live Well Assisted Living Llc, a provider established in Glendale, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1730846866 assigned on November 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Desire Rusingizwa (Program Director)
- NPI
- 1730846866 Verify this NPI
- Provider Name
- LIVE WELL ASSISTED LIVING LLC
- Entity Type
- Organization
- Location Address
- 12914 W SIERRA VISTA DR GLENDALE, AZ 85307
- Location Phone
- (602) 214-9544
- Location Fax
- (855) 538-5652
- Mailing Address
- 12634 W ESTERO LN LITCHFIELD PARK, AZ 85340
- Mailing Phone
- (602) 214-9544
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-23-2021
- Last Update Date
- 11-23-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GLENDALE, AZ 85307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730846866, enumerated as an "organization" on November 23, 2021.
The provider is located at 12914 W SIERRA VISTA DR GLENDALE, AZ 85307 and the phone number is (602) 214-9544.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
