Organization
FRESHLOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLEANS NKETSIA DADZIE (ADMINISTRATOR)
(470) 331-5317
Entity
Organization
Contact information
Practice address
1615 E PAUL DR, CASA GRANDE, AZ 85122-2416
(470) 331-5317
Mailing address
1615 E PAUL DR, CASA GRANDE, AZ 85122-2416
(470) 331-5317
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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