Organization
HOME CARE SWEET HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH YESERI BYEKWASO LUBANDI (DIRECTOR OF OPERATIONS)
(310) 844-3163
Entity
Organization
Contact information
Practice address
4522 E MICHIGAN AVE, PHOENIX, AZ 85032-1586
(480) 532-6788
(602) 774-0189
Mailing address
3213 E ADOBE DR, PHOENIX, AZ 85050-8248
(480) 532-6788
(602) 774-0189
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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