Mingus Mountain Estate Residential Center INC
NPI #1114090925 in Dewey, Arizona
Provider Information
- NPI Number
- 1114090925
- Entity Type
- Organization
- Organization Name
- Mingus Mountain Estate Residential Center INC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Mar 10, 2025
Practice Location
Authorized Official
- Name
- BROOKE WILSON
- Title
- SENIOR CREDENTIALING SPECIALISTS
- Phone
- (602) 335-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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| Mingus Mountain Estate Residential Center INC | |
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