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Organization

DEVOTED CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY PHILLIPS III (OWNER)
(602) 314-0276
Entity
Organization

Contact information

Practice address
3207 S 73RD DR, PHOENIX, AZ 85043-7230
(602) 314-0276
Mailing address
401 W WESTERN AVE UNIT 345, AVONDALE, AZ 85323-4414

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
04/27/2021
Last updated
05/03/2021
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