| NPI | 1093357089 |
|---|---|
| Doing Business As | ASSISTED LIVING OF MESA |
| Entity Type | Organization |
| Authorized Contact | BEHROUZ BARZANI Co/Owner 732-766-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |