Organization
DESTINY LIFE TRANSITIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAGANG BAWA (ADMINISTRATOR)
(480) 370-1815
Entity
Organization
Contact information
Practice address
7035 S 45TH AVE, LAVEEN, AZ 85339-4289
(480) 370-1815
Mailing address
7035 S 45TH AVE, LAVEEN, AZ 85339-4289
(480) 370-1815
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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