Sierra Vista Assistant Living LLC

NPI #1073859641 in Laveen, Arizona

Provider Information

NPI Number: 1073859641
Entity Type: Organization
Organization Name: Sierra Vista Assistant Living LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 29, 2012
Last Updated: Jan 22, 2013

Practice Location

Address: 3331 W IAN DR
City: Laveen
State: Arizona
ZIP Code: 85339-3805
Phone: (602) 628-3642

Authorized Official

Name: MS. JIA SEIDEL, MASTER DEGREE
Title: OWNER/MANAGER
Phone: (602) 628-3642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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