# A MOTHERS LOVE RESIDENTIAL HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326469719
- **Authorized official:** TRACEY MILLER (CHIEF EXECECUTIVE OFFICER)
- **Authorized official phone:** (623) 792-5336

## Contact information

- **Practice address:** 11610 W WINDROSE AVE, EL MIRAGE, AZ 85335-3951
- **Practice address phone:** (623) 792-5336
- **Practice address fax:** (602) 926-8174
- **Mailing address:** 11610 W WINDROSE AVE, EL MIRAGE, AZ 85335-3951
- **Mailing address phone:** (623) 792-5336
- **Mailing address fax:** (602) 926-8174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH4352 | AZ | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014