Organization
AZ VILLA BEHAVIORAL HOME.LLC
Active
Other names
Az Villa Behavioral Home.LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SOLANGE AMANI MIRINDI (DIRECTOR)
(602) 620-7544
Entity
Organization
Contact information
Practice address
16401 N 39TH PL, PHOENIX, AZ 85032-3246
(602) 620-7544
Mailing address
16401 N 39TH PL, PHOENIX, AZ 85032-3246
(602) 620-7544
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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