Organization
LIVING HOPE COMMUNITY CARE CENTERS LLC
Active
Parent organization
GENESIS DEVELOPMENT GROUP LLC
Other names
ELIZABETH HOUSE, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS DEVELOPMENT GROUP LLC
Authorized official
MR. CHAD ROCHE (CEO)
(480) 712-6170
Entity
Organization
Contact information
Practice address
3026 E SAN MANUEL RD, SAN TAN VALLEY, AZ 85143-4536
(480) 712-6170
Mailing address
PO BOX 9598, CHANDLER HEIGHTS, AZ 85127-9598
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
10/05/2016
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