Provider Demographics
NPI:1831636232
Name:AVERY INVESTMENTS OF MESA LLC
Entity type:Organization
Organization Name:AVERY INVESTMENTS OF MESA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-451-8800
Mailing Address - Street 1:8502 E PRINCESS DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7802
Mailing Address - Country:US
Mailing Address - Phone:480-451-8800
Mailing Address - Fax:
Practice Address - Street 1:8502 E PRINCESS DR
Practice Address - Street 2:SUITE 260
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7802
Practice Address - Country:US
Practice Address - Phone:480-451-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care