Organization
ROYAL GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE MBUGUA (ADMINISTRATOR)
(480) 955-9155
Entity
Organization
Contact information
Practice address
563 N 43RD AVE, PHOENIX, AZ 85009
(480) 955-9155
Mailing address
5510 W ELLIS DR, LAVEEN, AZ 85339-2970
(480) 955-9155
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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