| Residents At The Heights Llc | |
|
5801 E Main St Mesa AZ 85205-8851 | |
| (602) 368-3114 | |
| (888) 972-9788 |
| Full Name | Residents At The Heights Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5801 E Main St, Mesa, Arizona |
| Authorized Official Name and Position | Mary Grace Leach (CEO) |
| Authorized Official Contact | 6023688203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residents At The Heights Llc 3602 E Greenway Rd Ste 104 Phoenix AZ 85032-4648 Ph: (602) 368-8203 | Residents At The Heights Llc 5801 E Main St Mesa AZ 85205-8851 Ph: (602) 368-3114 |
| NPI Number | 1275009466 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275009466 | NPI | - | NPPES |
| OTC8147 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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