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Organization
AMANDA'S CARE HOME II LLC
Active
Organization
AMANDA'S CARE HOME II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WANJE (OWNER)
(909) 434-6940
Entity
Organization
Contact information
Practice address
8647 E PAMPA AVE, MESA, AZ 85212-1787
(480) 373-8437
Mailing address
3459 E VAUGHN AVE, GILBERT, AZ 85234-4247
(909) 434-6940
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
01/12/2022
Last updated
01/13/2022
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