Organization
FAMOND CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND E MOSIMA (ADMINISTRATOR)
(480) 352-7441
Entity
Organization
Contact information
Practice address
24216 N HIGH DUNES DR, FLORENCE, AZ 85132-5167
(480) 352-7441
Mailing address
10290 E ASTER LN, FLORENCE, AZ 85132-7183
(480) 352-7441
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
03/27/2024
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