Organization
UNITED SERVICE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY KARINA PINEDO (CEO/OWNER)
(623) 696-8960
Entity
Organization
Contact information
Practice address
3226 S SARIVAL AVE, GOODYEAR, AZ 85338-3505
(623) 696-8960
Mailing address
3226 S SARIVAL AVE, GOODYEAR, AZ 85338-3505
(623) 696-8960
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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