Organization
GOLDEN PALMS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOMOH SONGA (ADMINISTRATOR)
(571) 484-8057
Entity
Organization
Contact information
Practice address
7564 W CHARTER OAK RD, PEORIA, AZ 85381-5322
(571) 484-8057
(623) 321-6223
Mailing address
7564 W CHARTER OAK RD, PEORIA, AZ 85381-5322
(571) 484-8057
(623) 321-6223
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
06/06/2022
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