# HOME CARE SWEET HOME, LLC

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

## Provider details

- **NPI number:** 1679182042
- **Authorized official:** ELIJAH YESERI BYEKWASO LUBANDI (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (310) 844-3163

## Contact information

- **Practice address:** 4522 E MICHIGAN AVE, PHOENIX, AZ 85032-1586
- **Practice address phone:** (480) 532-6788
- **Practice address fax:** (602) 774-0189
- **Mailing address:** 3213 E ADOBE DR, PHOENIX, AZ 85050-8248
- **Mailing address phone:** (480) 532-6788
- **Mailing address fax:** (602) 774-0189

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 07/30/2020