Organization
CASITAS DE AMOR LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE SOTO (OWNER)
(480) 467-8119
Entity
Organization
Contact information
Practice address
4210 W ORCHID LN, PHOENIX, AZ 85051-4667
(480) 467-8119
Mailing address
4210 W ORCHID LN, PHOENIX, AZ 85051-4667
(480) 467-8119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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