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

Ponderosa Assisted Living

Organization Assisted Living Facility · NPI 1912142324

Ponderosa Assisted Living is an Assisted Living Facility in Williams, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

826 Hereford Dr
Williams, AZ 86046-9789
Phone: (928) 635-4179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (AZ)

Record details

NPI number1912142324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Kennedy — Owner/Manager · (928) 635-4179
NPI enumeratedDecember 15, 2008
Last updated in NPPESDecember 15, 2008
Mailing addressPo Box 16153, Bellemont, AZ 86015-6153

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