Organization
FIRST LOVE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE E FIERRO VALDEZ (OPERATIONS MANAGER)
(602) 501-1389
Entity
Organization
Contact information
Practice address
817 S 165TH DR, GOODYEAR, AZ 85338-4590
(602) 501-1389
Mailing address
817 S 165TH DR, GOODYEAR, AZ 85338-4590
(602) 501-1389
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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