Organization
LOVE'S RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSPIN BAGAZA (MANAGER)
(602) 373-8486
Entity
Organization
Contact information
Practice address
84 N 225TH DR, BUCKEYE, AZ 85326-7854
(602) 373-8486
Mailing address
84 N 225TH DR, BUCKEYE, AZ 85326-7854
(602) 373-8486
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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