Ponderosa Senior Assisted Living, Llc in Bellemont - Clinic/center

Ponderosa Senior Assisted Living, Llc - NPI 1841474723

Ponderosa Senior Assisted Living, Llc is a Clinic/center in Bellemont, Arizona. Ponderosa Senior Assisted Living, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Ponderosa Senior Assisted Living, Llc is 1841474723. The last update date is 2007-12-27.

Ponderosa Senior Assisted Living, Llc's current location address is Po Box 16193, Bellemont, Arizona. You can contact this provider via phone number 9282131187. The mailing address for Ponderosa Senior Assisted Living, Llc is Po Box 16193, Bellemont, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ponderosa Senior Assisted Living, Llc
Address Po Box 16193, Bellemont, Arizona
Phone Number 9282131187
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kennedy E Lisa
Telephone Number 9282131187

NPI Number Detail

NPI Number 1841474723
Provider Enumeration Date 2007-12-27
Last Updated Date 2007-12-27

Provider Mailing Address Detail

Address Po Box 16193
City Bellemont
State Arizona (AZ)
Post Code 86015
Phone Number 9282131187
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ALH6417 AZ ASSISTED LIVING

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FAQs about Ponderosa Senior Assisted Living, Llc

What is the unique 10-digit identifier code assigned to Ponderosa Senior Assisted Living, Llc by the Centers for Medicare & Medicaid Services?

The Ponderosa Senior Assisted Living, Llc has been issued the NPI (National Provider Identifier) 1841474723 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Ponderosa Senior Assisted Living, Llc is physically located?

The Ponderosa Senior Assisted Living, Llc is situated at the following address: Po Box 16193, Bellemont, AZ 86015.

What is Ponderosa Senior Assisted Living, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ponderosa Senior Assisted Living, Llc's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

When did Ponderosa Senior Assisted Living, Llc receive its 1841474723 assignment?

The Ponderosa Senior Assisted Living, Llc was assigned its 1841474723 on 2007-12-27, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Ponderosa Senior Assisted Living, Llc most recently updated or revised?

The details related to Ponderosa Senior Assisted Living, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-27.

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