# MUNGOH BC (MBC) LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MUNGOH BC (MBC) LLC DHA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639821317
- **Authorized official:** MARY AKWAR (ADMINSTRATOR)
- **Authorized official phone:** (480) 234-1509

## Contact information

- **Practice address:** 24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
- **Practice address phone:** (520) 234-1600
- **Mailing address:** 24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
- **Mailing address phone:** (520) 324-1600

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 01/24/2022