Organization
LOVE FOR THE CHILDREN GROUP HOME
Active
Other names
Love For The Children Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BAYA BOLYA (PRESIDENT)
(310) 717-1821
Entity
Organization
Contact information
Practice address
20277 N 93RD AVE, PEORIA, AZ 85382-5319
(310) 717-1821
(623) 444-8413
Mailing address
17932 W DESERT LN, SURPRISE, AZ 85388-1658
(310) 717-1821
(623) 444-8314
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5297
AZDHS
AZ
Enumeration date
12/18/2017
Last updated
06/20/2018
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