Organization
LOYALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA STANFORD (DIRECTOR)
(602) 570-5633
Entity
Organization
Contact information
Practice address
1525 S CHESTNUT CIR, MESA, AZ 85204-6118
(602) 570-5736
Mailing address
4478 S MARION PL, CHANDLER, AZ 85249-4791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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