Organization
VISIONS OF HUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY PREMPEH (OWNER/ADMINISTRATOR)
(602) 332-6699
Entity
Organization
Contact information
Practice address
11826 W LUPINE AVE, EL MIRAGE, AZ 85335-5050
(602) 332-6699
Mailing address
15427 W JEFFERSON ST, GOODYEAR, AZ 85338-3383
(602) 332-6699
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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