Organization
MAXIMUM LOVE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOALA (MANAGER)
(385) 529-4802
Entity
Organization
Contact information
Practice address
14487 S RONAN LN UNIT 204, HERRIMAN, UT 84096-1570
(385) 529-4802
Mailing address
14487 S RONAN LN UNIT 204, HERRIMAN, UT 84096-1570
(385) 529-4802
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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