Organization
GOLDEN VOW HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IJEOMA AJIE (OWNER)
(323) 806-2875
Entity
Organization
Contact information
Practice address
414 W ANDERSON AVE, PHOENIX, AZ 85023-6541
(323) 806-2875
Mailing address
5229 INADALE AVE, LOS ANGELES, CA 90043-1536
(323) 806-2875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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