Organization
LIVE WELL ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE RUSINGIZWA (PROGRAM DIRECTOR)
(602) 214-9544
Entity
Organization
Contact information
Practice address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
(602) 214-9544
(623) 266-4688
Mailing address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340
(602) 214-9544
(623) 266-4688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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