Organization
LIFEWIN HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WORTHY II (CEO)
(623) 980-8107
Entity
Organization
Contact information
Practice address
603 S 167TH DR, GOODYEAR, AZ 85338-4569
(623) 980-8107
Mailing address
603 S 167TH DR, GOODYEAR, AZ 85338-4569
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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