Organization
LAGOS HOUSE LLC
Active
Other names
Lagos House LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNDEITRA AKINOSHO (DIRECTOR)
(480) 309-7530
Entity
Organization
Contact information
Practice address
12428 N 46TH AVE, GLENDALE, AZ 85304-2314
(480) 309-7530
Mailing address
12428 N 46TH AVE, GLENDALE, AZ 85304-2314
(480) 309-7530
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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