Organization
LUMINARIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LEA RIVERA (CHIEF EXECUTIVE OFFICER)
(520) 840-0431
Entity
Organization
Contact information
Practice address
3477 E BATTEN ROAD, ELOY, AZ 85131
(520) 840-0431
(520) 466-2242
Mailing address
4040 N DEL MONTE, ELOY, AZ 85131
(520) 466-2233
(520) 466-2242
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4566
AZ
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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