Organization
MOVING MOUNTAIN SUPPORTIVE HOUSING
Active
Other names
MB Clothing & More
Organization subpart
No
Provider details
NPI number
Authorized official
DAVETTE FLOYD (OWNER)
(626) 381-8963
Entity
Organization
Contact information
Practice address
4404 W BETHANY HOME RD APT 56, GLENDALE, AZ 85301-5423
(626) 381-8963
Mailing address
4404 W BETHANY HOME RD APT 56, GLENDALE, AZ 85301-5423
(626) 381-8963
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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