Providence Legacy Assisted Living
NPI #1285946475 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1285946475
- Entity Type
- Organization
- Organization Name
- Providence Legacy Assisted Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 6, 2010
- Last Updated
- Jul 6, 2010
Practice Location
- Address
- 4812 E MEADOW MIST LN
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85140-5222
- Phone
- (480) 388-1151
Authorized Official
- Name
- JINETTE LANOIX
- Title
- OWNER/MANAGER
- Phone
- (480) 388-1151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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