Shared Spaces LLC

NPI #1659247906 in Maricopa, Arizona

Provider Information

NPI Number: 1659247906
Entity Type: Organization
Organization Name: Shared Spaces LLC
Primary Specialty: Case Management
Enumeration Date: Oct 14, 2025
Last Updated: Oct 14, 2025

Practice Location

Address: 42105 W CHEYENNE DR
City: Maricopa
State: Arizona
ZIP Code: 85138-3356
Phone: (602) 319-8130

Authorized Official

Name: CAROLYN LACY
Title: DO
Phone: (602) 319-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
Lodging	177F00000X
Day Training, Developmentally Disabled Services	251C00000X
Home Health	251E00000X
Clinic/Center - Prison Health — Prison Health	261QP2400X
Foster Care Agency	253J00000X
In Home Supportive Care	253Z00000X
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Assisted Living Facility	310400000X
Case Management	251B00000X	Primary

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