Organization
PSALMS MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE NTHENYA IFEACHO (ADMINISTRATOR)
(952) 497-9974
Entity
Organization
Contact information
Practice address
5647 W WAYLAND DR, LAVEEN, AZ 85339-5162
(951) 497-9974
Mailing address
5647 W WAYLAND DR, LAVEEN, AZ 85339-5162
(951) 497-9974
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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