Organization
HAPPY VALLEY RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESPERANCE MAPENDO (OWNER)
(949) 630-1715
Entity
Organization
Contact information
Practice address
23157 N 103RD LN, PEORIA, AZ 85383-2753
(949) 630-1715
Mailing address
23157 N 103RD LN, PEORIA, AZ 85383-2753
(949) 630-1715
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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