Organization
LIVING HOPE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USIBONGE MULUMBI (PROGRAM DIRECTOR)
(623) 900-8607
Entity
Organization
Contact information
Practice address
5023 W LYNNE LN, LAVEEN, AZ 85339-4243
(623) 900-8607
Mailing address
5023 W LYNNE LN, LAVEEN, AZ 85339-4243
(623) 900-8607
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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