Organization
LAVEEN SUNSETS RESIDENTIAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE L UWIMANA NP (PMHNP-BC)
(602) 399-0314
Entity
Organization
Contact information
Practice address
3001 W DONNER DR, PHOENIX, AZ 85041
(602) 399-0134
Mailing address
3001 W DONNER DR, PHOENIX, AZ 85041
(602) 399-0134
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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