Organization
JOONDALUP PRESTIGE LLC
Active
Organization
JOONDALUP PRESTIGE LLC
Active
Other names
Joondalup Prestige, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY WENDY MUTHONI (ADMINISTRATOR)
(858) 344-4746
Entity
Organization
Contact information
Practice address
4602 W DONNER DR, LAVEEN, AZ 85339-4264
(858) 344-4746
(520) 455-3200
Mailing address
8509 S 41ST DR, LAVEEN, AZ 85339-7823
(858) 344-4746
(520) 455-3200
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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