# LIVE WELL ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIVE WELL RESIDENTIAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356969828
- **Authorized official:** DESIRE RUSINGIZWA (PROGRAM DIRECTOR)
- **Authorized official phone:** (623) 877-3764

## Contact information

- **Practice address:** 9210 W LOOW BEND LANE, PHOENIX, AZ 85037
- **Practice address phone:** (602) 214-9544
- **Mailing address:** 12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
- **Mailing address phone:** (602) 214-9544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 07/10/2020