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Organization

LADDER OF LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIANNA CANN (ADMINISTRATOR)
(520) 233-7581
Entity
Organization

Contact information

Practice address
1125 E 1ST ST, CASA GRANDE, AZ 85122-4701
(520) 233-7581
Mailing address
1125 E 1ST ST, CASA GRANDE, AZ 85122-4701

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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