Ponderosa Senior Assisted Living, LLC
Ponderosa Senior Assisted Living, LLC is a Clinic/Center in Bellemont, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4490 N Bellemont SpgsBellemont, AZ 86015
Phone: (928) 213-1187
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (AZ) |
|---|
Record details
| NPI number | 1841474723 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Kennedy — Owner · (928) 213-1187 |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | December 27, 2007 |
| Mailing address | Po Box 16193, Bellemont, AZ 86015 |