Organization
HOUSE OF LYDIA LLC
Active
Other names
HOUSE OF LYDIA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA JONES (OWNER)
(602) 880-1939
Entity
Organization
Contact information
Practice address
902 E LOCUST LN, AVONDALE, AZ 85323-2783
(602) 880-1939
Mailing address
902 E LOCUST LN, AVONDALE, AZ 85323-2783
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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