MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC.
Nursing at Robert Rd, Prescott Valley, AZ

License number
Arizona BH-1487
Category
Nursing
Type
Assisted Living, Behavioral Disturbances
Owner
Name: CHRIS BANKEN
Title: EXECUTIVE DIRECTOR
Phone: (602) 335-2095
Address
Address
3801 N Robert Rd, Prescott Valley, AZ 86314
National Provider ID: 1497828503
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC. at bizstanding.com

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC

15801 E Don Carlos Dr, Prescott Valley, AZ 86315

Registration:
Jun 30, 1986
State ID:
-0187071-1
Expiration:
PERPETUAL
Vice-presidents:
Mike Forakis (Chairman), 420 N 52N Ave, Phoenix, AZ 85043 (Physical),Ali Craven (Other officer), 7007 E Gold Dust, Scottsdale, AZ 85260 (Physical),Diane Larned (Other officer), 635 E Moon Vis St, Apache Junction, AZ 85119 (Physical),...
Business type:
HOSPITAL/HEALTH CARE

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC

Prescott Valley, AZ

Status:
Inactive
Industry:
Elementary/Secondary School, Residential Care Services Elementary/Secondary School, Residential Care Services
Doing business as:
Mingus Mountain Academy<br>Mmerci<br>Mingus Mountain Estate Residential Center, Inc
Registration:
Sep 8, 2014
Phone:
(928) 772-6394 (Phone), (602) 335-2000 (Phone)
Addresses:
PO Box 26485, Prescott Valley, AZ 86312 (Mailing)
3071 N Robert Rd, Prescott Valley, AZ 86314
State ID:
0802059201
Business type:
Foreign Nonprofit Corporation
Directors:
Michael Forakis (Director),Donald L. Cross (Director),Timothy N. Peterson (Director),...
Agent:
Buddy Pettigrew,1206 Mildred Ln, Fort Worth, TX 76126 (Physical)
TIN:
32055087426

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