Active Assisted Living, LLC
NPI #1629198858 in Mesa, Arizona
Provider Information
- NPI Number
- 1629198858
- Entity Type
- Organization
- Organization Name
- Active Assisted Living, LLC
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Aug 1, 2007
Practice Location
Authorized Official
- Name
- MR. STEVEN JAMES THARALSON
- Title
- DIRECTOR
- Phone
- (480) 461-8272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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