IndividualActive
Angelo Acsayan
NPI 1962855296 · Assisted Living Facility · Mesa, AZ
Provider details
- NPI number
- 1962855296
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL10036 (AZ)
Practice location
2955 E Mallory St
Mesa, AZ 85213-1667
Phone: (480) 654-8196
Fax: (480) 275-2609
Mailing address
2955 E Mallory St
Mesa, AZ 85213-1667
Registry dates
- Enumerated
- 2016-07-21
- Last updated
- 2016-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.