Organization
NDG ADULT CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE GALIT (LICENSEE)
(480) 894-2902
Entity
Organization
Contact information
Practice address
1106 W 9TH ST, TEMPE, AZ 85281-5304
(480) 894-2902
Mailing address
1106 W 9TH ST, TEMPE, AZ 85281-5304
(480) 894-2902
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
AL7288H
AZ
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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