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General NPI Number Information
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NPI Number | 1992666309
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Entity Type | Organization
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Legal Business Name | BLUE SKY ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2116 N 81ST CIR
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City | MESA
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State | AZ
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Zip | 85207-2167
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Country | US
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Telephone | 480-248-6260
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Fax | 480-885-4865
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Provider Business Mailing Address
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Address Line | 3317 S HIGLEY RD STE 114 PMB 106
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City | GILBERT
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State | AZ
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Zip | 85297
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Country | US
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Telephone | 480-540-1948
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Fax | 800-509-9446
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Authorized Official
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Title or Position | OWNER
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Name | BEN CLAYTON
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Credential |
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Telephone | 480-540-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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