Mingus Mountain Estate Residential Center INC
NPI #1497828503 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1497828503
- Entity Type
- Organization
- Organization Name
- Mingus Mountain Estate Residential Center INC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 3801 N ROBERT RD
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-8107
- Phone
- (602) 335-2095
Authorized Official
- Name
- BROOKE WILSON
- Title
- SENIOR CREDENTIALING SPECIALIST
- Phone
- (602) 335-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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