Providence Legacy Assisted Living
Providence Legacy Assisted Living is an Assisted Living Facility in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2010.
- Licensed in
- AZ
- In the registry since
- 2010
Practice location Address checks out
4812 E Meadow Mist LnQueen Creek, AZ 85140-5222
Phone: (480) 388-1151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence AL7937 (AZ) |
|---|
Record details
| NPI number | 1285946475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jinette Lanoix — Owner/Manager · (480) 388-1151 |
| NPI enumerated | July 6, 2010 |
| Last updated in NPPES | July 6, 2010 |
| Mailing address | 4812 E Meadow Mist Ln, Queen Creek, AZ 85140-5222 |
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