Organization
ERASTOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE O MAKINDE-WELLS (OWNER)
(903) 480-2126
Entity
Organization
Contact information
Practice address
8102 W GIBSON LN, PHOENIX, AZ 85043-7486
(903) 480-2126
Mailing address
8102 W GIBSON LN, PHOENIX, AZ 85043-7486
(903) 480-2126
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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