Organization
HOPE LOVE AND CARE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISDEON AYIYI (CEO)
(602) 710-4171
Entity
Organization
Contact information
Practice address
6608 S 16TH DR, PHOENIX, AZ 85041-5814
(602) 710-4171
Mailing address
13029 W AVALON DR, AVONDALE, AZ 85392-6763
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/23/2024
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