Organization
PRESIDENTIAL MANSIONCARE, LLC
Active
Parent organization
PRESIDENTIAL MANSIONCARE, LLC
Other names
MIAMI HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESIDENTIAL MANSIONCARE, LLC
Authorized official
KENNEDY AMUGHAN BHT, LLB, BL, JD CD. (CEO)
(623) 202-9583
Entity
Organization
Contact information
Practice address
18428 W MIAMI ST, GOODYEAR, AZ 85338-7490
(623) 202-9583
(623) 822-0715
Mailing address
18428 W MIAMI ST, GOODYEAR, AZ 85338-7490
(623) 202-9583
(623) 822-0715
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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