Organization
HOPE LIGHT CARE HOMES , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL NDAYIRAGIJE (OWNER/ADMINISTRATOR)
(480) 278-2047
Entity
Organization
Contact information
Practice address
11204 W SELDON LN, PEORIA, AZ 85345-3439
(480) 278-2047
Mailing address
11204 W SELDON LN, PEORIA, AZ 85345-3439
(480) 278-2047
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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