Organization
C&D ASSISTED LIVING HOMES LLC
Active
Other names
HAVEN HOUSE AZ
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMWEL MWANGI (OWNER)
(314) 585-3398
Entity
Organization
Contact information
Practice address
17652 N AVELINO DR, MARICOPA, AZ 85138-4979
(520) 472-2376
(520) 472-2377
Mailing address
38103 N BONNIE LN, SAN TAN VALLEY, AZ 85140-4158
(314) 585-3398
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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