Organization
LESLOS HOMES LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIRWA KEMBOI (CEO)
(323) 434-2957
Entity
Organization
Contact information
Practice address
3215 W GLENDALE AVE, PHOENIX, AZ 85051-8356
(323) 434-2957
Mailing address
3215 W GLENDALE AVE, PHOENIX, AZ 85051-8356
(323) 434-2957
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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