Organization
C&J CARE HOME LLC
Active
Other names
INS Residential Homes
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG REED (MANAGING PARTNER)
(480) 849-4968
Entity
Organization
Contact information
Practice address
4418 W DARREL RD, LAVEEN, AZ 85339-6222
(480) 849-4968
Mailing address
4923 W MAGDAGLENA LANE, LAVEEN, AZ 85339
(480) 849-4968
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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