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Organization

LIVE WELL ASSISTED LIVING

Active
Other names
LIVE WELL RESIDENTIAL CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DESIRE RUSINGIZWA (PROGRAM DIRECTOR)
(623) 877-3764
Entity
Organization

Contact information

Practice address
4544 N 91ST DR, PHOENIX, AZ 85037-2449
(623) 399-7824
Mailing address
4544 N 91ST DR, PHOENIX, AZ 85037-2449
(623) 399-7824

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
12/13/2019
Last updated
12/13/2019
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