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Organization

JD LIFESOLUTION, LLC

Active
Other names
JD LifeSolution, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JOLLEY DEMAIH (OWNER/CEO)
(602) 200-4804
Entity
Organization

Contact information

Practice address
10820 N 43RD AVE STE 7, GLENDALE, AZ 85304-4154
(602) 314-6064
Mailing address
12371 W HAZELWOOD ST, AVONDALE, AZ 85392-4277
(602) 200-4804

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
04/30/2024
Last updated
04/30/2024
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Product
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