Organization
MWANGAZA RESIDENTIAL CARE LLC
Active
Parent organization
MWANGAZA RESIDENTIAL CARE LLC
Other names
MWANGAZA RESIDENTIAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MWANGAZA RESIDENTIAL CARE LLC
Authorized official
JONAH KIBITOK MAIYO (OWNER/CEO/PRO. DIR)
(520) 207-9283
Entity
Organization
Contact information
Practice address
3410 W RUTHANN RD, TUCSON, AZ 85745-8749
(520) 248-1295
(888) 977-2729
Mailing address
8618 N WESTERN JUNIPER TER, TUCSON, AZ 85743-7132
(520) 248-1295
(888) 977-2729
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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