Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Manor Residency, Inc

Organization Assisted Living Facility · NPI 1720174303

Liberty Manor Residency, Inc is an Assisted Living Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17632 N 5th Pl
Phoenix, AZ 85022-1809
Phone: (602) 441-2563
Fax: (602) 354-7129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence ALH-4580 (AZ)
Assisted Living Facility Taxonomy 310400000X · Licence ALH-4580 (AZ)
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X · Licence ALH-4580 (AZ)

Record details

NPI number1720174303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Roxas — President · (602) 524-8124
NPI enumeratedOctober 4, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address6501 E Greenway Pkwy, Suite 103, Pmb 505, Scottsdale, AZ 85254-2065

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