IndividualActive
Brenton Casteel
NPI 1629580717 · Assisted Living Facility (Behavioral Disturbances) · Phoenix, AZ
Provider details
- NPI number
- 1629580717
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL10375H (AZ)
Mailing address
4638 E Summerhaven Dr
Phoenix, AZ 85044-4820
Registry dates
- Enumerated
- 2017-10-29
- Last updated
- 2017-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.