Organization
ONE LOVE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JOSEPH LAVI CEO (MANANGER)
(602) 875-1153
Entity
Organization
Contact information
Practice address
4047 W OCOTILLO RD, PHOENIX, AZ 85019-1012
(602) 875-1153
Mailing address
4047 W OCOTILLO RD, PHOENIX, AZ 85019-1012
(602) 875-1153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
03/09/2023
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