Organization
E&G RESIDENTIAL CARE LLC
Active
Other names
E&G Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC YAMUREMYE (ADMINISTRATOR)
(623) 432-6891
Entity
Organization
Contact information
Practice address
9141 W SELLS DR, PHOENIX, AZ 85037-0806
(623) 432-6891
Mailing address
8779 W WINDSOR DR, PEORIA, AZ 85381-5110
(623) 432-6891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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