Organization
LOVE SHINES BEHAVIORAL HEALTH HOMES LLC
Active
Parent organization
LOVE SHINES BEHAVIORAL HEALTH HOMES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOVE SHINES BEHAVIORAL HEALTH HOMES LLC
Authorized official
LUCAS MUTURI (DIRECTOR)
(480) 334-5668
Entity
Organization
Contact information
Practice address
16401 N 39TH PL, PHOENIX, AZ 85032-3246
(949) 630-1715
Mailing address
16401 N 39TH PL, PHOENIX, AZ 85032-3246
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
09/18/2019
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