Organization
ARIZONA DESTINY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KEMUNTO ORORI OWNER (OWNER)
(623) 428-3154
Entity
Organization
Contact information
Practice address
16534 W LILAC ST, GOODYEAR, AZ 85338-4535
(623) 428-3154
Mailing address
16534 W LILAC ST, GOODYEAR, AZ 85338-4535
(623) 428-3154
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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