Organization
HOUSE OF LOVE RESIDENTIAL FACILITY LLC
Active
Organization
HOUSE OF LOVE RESIDENTIAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA MILLER (OWNER)
(562) 846-6767
Entity
Organization
Contact information
Practice address
4138 E NIGHTHAWK WAY, PHOENIX, AZ 85048-0556
(562) 846-6767
Mailing address
PO BOX 1984, PARAMOUNT, CA 90723-1984
(562) 846-6767
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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