OrganizationActive
Cindy Hicks
NPI 1720130404 · Assisted Living Facility (Mental Illness) · Glendale, AZ
Provider details
- NPI number
- 1720130404
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cindy Hicks, Owner(602) 547-9682
- License
- BH2617 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4602 W Monte Cristo Ave
Glendale, AZ 85306-2724
Phone: (602) 547-9682
Approximate (ZIP-level) locationGet directions
Mailing address
4602 W Monte Cristo Ave
Glendale, AZ 85306-2724
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.