Organization
DELUXE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ETHAN KIGOZI (OWNER)
(818) 497-3706
Entity
Organization
Contact information
Practice address
10801 N 45TH DR, GLENDALE, AZ 85304-4404
(818) 497-3706
Mailing address
10801 N 45TH DR, GLENDALE, AZ 85304-4404
(818) 497-3706
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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