OrganizationActive
Liberty Manor Residency, Inc.
NPI 1720174303 · Assisted Living Facility (Mental Illness) · Phoenix, AZ
Provider details
- NPI number
- 1720174303
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Authorized official
- Maria Roxas, President
- License
- ALH-4580 (AZ)
Practice location
17632 N 5th Pl
Phoenix, AZ 85022-1809
Phone: (602) 441-2563
Fax: (602) 354-7129
Mailing address
6501 E Greenway Pkwy
Scottsdale, AZ 85254-2065
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.