Mingus Mountain Estate Residential Center Inc Valid NPI

Organization · Assisted Living Facility (Behavioral Disturbances) · Prescott Valley, AZ

NPI

1497828503

Type

Organization (Type 2)

Primary specialty

Assisted Living Facility (Behavioral Disturbances) (Assisted Living Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3104A0630X

License number

BH-1487 (AZ)

Enumerated

2006-11-16

Last updated

2025-03-10