Organization
EMBRACING EXCELLENCE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA EDMON (CEO)
(623) 600-4106
Entity
Organization
Contact information
Practice address
6519 W BRANHAM LN, LAVEEN, AZ 85339-2723
(623) 600-4106
(888) 863-2482
Mailing address
6519 W BRANHAM LN, LAVEEN, AZ 85339-2723
(623) 600-4106
(888) 863-2482
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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