Organization
HOUSE OF LOVE & PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THACIANNE KAYITESI (CEO)
(520) 499-7014
Entity
Organization
Contact information
Practice address
9131 W MINNEZONA AVE, PHOENIX, AZ 85037-2446
(520) 499-7014
Mailing address
9131 W MINNEZONA AVE, PHOENIX, AZ 85037-2446
(520) 499-7014
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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