Organization
LONGEVITY HOME CARE LLC DBA LONGEVITY HOME CARE
Active
Organization
LONGEVITY HOME CARE LLC DBA LONGEVITY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON VEGA (OWNER)
(623) 285-7218
Entity
Organization
Contact information
Practice address
8632 S 10TH LN, PHOENIX, AZ 85041-8337
(623) 285-7218
Mailing address
21834 N SUNSET DR, MARICOPA, AZ 85139-5483
(623) 285-7218
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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