Organization
ASSURED DIGNITY RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BADEJOKO ODETOYE (OWNER)
(623) 512-8548
Entity
Organization
Contact information
Practice address
6850 W CARSON RD, LAVEEN, AZ 85339-7025
(623) 512-8548
Mailing address
6850 W CARSON RD, LAVEEN, AZ 85339-7025
(623) 512-8548
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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