ACTIVE ASSISTED LIVING, LLC
Organization (NPI-2)
Active
Residential Treatment Facility, Physical Disabilities
Provider Information
- NPI Number
1629198858- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 758 S TOLTEC, MESA, AZ, 852043642
- Phone
- (480) 461-8272
- Fax
- (480) 461-4682
Specialties & Taxonomies
Residential Treatment Facility, Physical Disabilities
Primary License: AZ #ALH-4567