Organization
SILVER CREEK MANORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENORE GAINES (OWNER)
(619) 971-9626
Entity
Organization
Contact information
Practice address
4608 E CABALLERO ST APT 2, MESA, AZ 85205-2764
(619) 971-9626
Mailing address
4608 E CABALLERO ST APT 2, MESA, AZ 85205-2764
(619) 971-9626
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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