Organization
LUX SPEI HOMES LLC, DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND NYAGATARE MANZI (ADMINISTRATOR)
(602) 394-5954
Entity
Organization
Contact information
Practice address
2906 W HUNTINGTON DR, PHOENIX, AZ 85041-4450
(602) 394-5954
Mailing address
2906 W HUNTINGTON DR, PHOENIX, AZ 85041-4450
(602) 394-5954
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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