Organization
CCC B&B LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITOBILOLUWA ADEPOJU (OWNER)
(281) 878-9077
Entity
Organization
Contact information
Practice address
4623 W MAGDALENA LN, LAVEEN, AZ 85339-2355
(602) 668-6811
Mailing address
4623 W MAGDALENA LN, LAVEEN, AZ 85339-2355
(602) 668-6811
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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