Organization
FERVOUR GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE WAMBUI MWANGI NP (MEMBER/OWNER)
(562) 277-6323
Entity
Organization
Contact information
Practice address
2059 E PIEDMONT PL, CASA GRANDE, AZ 85122-6813
(562) 277-6323
Mailing address
2059 E PIEDMONT PL, CASA GRANDE, AZ 85122-6813
(562) 277-6323
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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