OrganizationActive
Ac Residential LLC
NPI 1083127138 · Assisted Living Facility · Phoenix, AZ
Provider details
- NPI number
- 1083127138
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Helen Dike, Administrator(480) 203-5862
- License
- AL10547H (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2713 E Villa Rita Dr
Phoenix, AZ 85032-1031
Phone: (480) 203-5862
Approximate (ZIP-level) locationGet directions
Mailing address
2713 E Villa Rita Dr
Phoenix, AZ 85032-1031
Registry dates
- Enumerated
- 2017-11-12
- Last updated
- 2017-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.