# LIVING HOPE RESIDENTIAL CARE LLC

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

## Provider details

- **NPI number:** 1568179679
- **Authorized official:** USIBONGE MULUMBI (PROGRAM DIRECTOR)
- **Authorized official phone:** (623) 900-8607

## Contact information

- **Practice address:** 5023 W LYNNE LN, LAVEEN, AZ 85339-4243
- **Practice address phone:** (623) 900-8607
- **Mailing address:** 5023 W LYNNE LN, LAVEEN, AZ 85339-4243
- **Mailing address phone:** (623) 900-8607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2022
- **Last updated:** 10/31/2022