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Organization

NATHAN CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PADRES JOELLE DOUNTIO TADA (ADMINISTRATOR)
(480) 370-1815
Entity
Organization

Contact information

Practice address
7035 S 45TH AVE, LAVEEN, AZ 85339-4289
(480) 370-1815
Mailing address
7035 S 45TH AVE, LAVEEN, AZ 85339-4289
(480) 370-1815

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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