Organization
ERASTOP LLC
Active
Parent organization
ERASTOP LLC
Other names
Erastop Home 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERASTOP LLC
Authorized official
MS. TEMITOPE MAKINDE-WELLS (ADMINISTRATOR)
(903) 480-2126
Entity
Organization
Contact information
Practice address
814 N 111TH DR, AVONDALE, AZ 85323-7941
(903) 480-2126
Mailing address
814 N 111TH DR, AVONDALE, AZ 85323-7941
(903) 480-2126
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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