Organization
HEARTS OF GOLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BANGURA (OWNER)
(623) 216-5759
Entity
Organization
Contact information
Practice address
22601 N 30TH AVE, PHOENIX, AZ 85027-1005
(623) 216-5759
Mailing address
22601 N 30TH AVE, PHOENIX, AZ 85027-1005
(623) 216-5759
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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