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Organization
LIVE WELL ASSISTED LIVING LLC
Active
Organization
LIVE WELL ASSISTED LIVING LLC
Active
Other names
LIVE WELL RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE RUSINGIZWA (PROGRAM DIRECTOR)
(623) 877-3764
Entity
Organization
Contact information
Practice address
4544 N 91ST DR, PHOENIX, AZ 85037-2449
(623) 444-7824
Mailing address
4544 N 91ST DR, PHOENIX, AZ 85037-2449
(623) 444-7824
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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