A Greater Vision Living Space LLC.
Organization Active NPI Community/Behavioral Health Agency · Peoria, AZ
NPI 1740974336 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1740974336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A GREATER VISION LIVING SPACE LLC.
- Practice address
- 7252 W Quail Track Dr
Peoria, AZ 85383-6362 - Phone
- (623) 203-5920
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Crystal Roche
- Title
- Owner
- Phone
- (623) 203-5920
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
7252 W Quail Track Dr
Peoria, AZ 85383-6362
Mailing address
7252 W Quail Track Dr
Peoria, AZ 85383-6362
Phone (623) 203-5920
Other names
- A Greater Vision Living Space LLC.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.