Organization
AZ VILLA BEHAVIORAL HOME.LLC
Active
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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