Organization
EZDONICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNO EZEALAH (ADINISTRATOR)
(480) 650-2431
Entity
Organization
Contact information
Practice address
4638 E SUMMERHAVEN DR, PHOENIX, AZ 85044-4820
(480) 650-2431
Mailing address
1601 W MUSKET WAY, CHANDLER, AZ 85286-8405
(480) 650-2431
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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