Organization
LIVE WELL ASSISTED LIVING LLC
Active
Parent organization
LIVE WELL ASSISTED LIVING LLC
Other names
LIVE WELL RESIDENTIAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE WELL ASSISTED LIVING LLC
Authorized official
DESIRE RUSINGIZWA (PROGRAM DIRECTOR)
(623) 877-3764
Entity
Organization
Contact information
Practice address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
(602) 214-9544
Mailing address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
(602) 214-9544
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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