Organization
JMJ ENTERPISE LLC
Active
Other names
JMJ Faithful Care Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EZELL (ADMINISTRATOR)
(602) 628-7207
Entity
Organization
Contact information
Practice address
14547 W ACAPULCO LN, SURPRISE, AZ 85379-8548
(623) 428-4429
Mailing address
14804 N 130TH LN, EL MIRAGE, AZ 85335-3436
(623) 428-4429
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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