Organization
MAX CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINA WILLIAMS (OWNER)
(619) 248-7143
Entity
Organization
Contact information
Practice address
2239 W HASAN DR, PHOENIX, AZ 85041-5312
(619) 248-7143
Mailing address
2239 W HASAN DR, PHOENIX, AZ 85041-5312
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
10/21/2020
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