Lake Havasu Too, Llc in Lake Havasu City - Assisted Living Facility
Lake Havasu Too, Llc - NPI 1790812436
Lake Havasu Too, Llc is a Assisted Living Facility in Lake Havasu City, Arizona. Lake Havasu Too, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Lake Havasu Too, Llc is 1790812436. The last update date is 2020-08-22.
Lake Havasu Too, Llc's current location address is 1221 Claremont Dr, Lake Havasu City, Arizona. You can contact this provider via phone number 9288554843 and fax number 9288552987. The mailing address for Lake Havasu Too, Llc is 1221 Claremont Dr, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Havasu Too, Llc |
|---|---|
| Address | 1221 Claremont Dr, Lake Havasu City, Arizona |
| Phone Number | 9288554843 |
| Fax Number | 9288552987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Vislocky J Gregory |
| Telephone Number | 3607357155 |
NPI Number Detail
| NPI Number | 1790812436 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1221 Claremont Dr |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864068684 |
| Phone Number | 9288554843 |
| Fax Number | 9288552987 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | ALC 4959 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21159 | AZ | -- |
Post Comment/ Review Below
What is the Lake Havasu Too, Llc's 1790812436?
The Lake Havasu Too, Llc's NPI (National Provider Identifier) Number is 1790812436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lake Havasu Too, Llc is geographically located?
The Lake Havasu Too, Llc is physically situated at the following location: 1221 Claremont Dr, Lake Havasu City, AZ, 864068684.
What is the Lake Havasu Too, Llc's area of specialization and corresponding taxonomy classification?
The Lake Havasu Too, Llc's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Lake Havasu Too, Llc receive the assignment of its 1790812436 from the Centers for Medicare & Medicaid Services?
The Lake Havasu Too, Llc was issued its 1790812436 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information regarding Lake Havasu Too, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Havasu Too, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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