Organization
LAVIE HOME LLC
Active
Organization
LAVIE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABY NGOUNDJO (OWNER)
(480) 249-9851
Entity
Organization
Contact information
Practice address
45503 W MORNING VIEW LN, MARICOPA, AZ 85139-6677
(480) 249-9851
Mailing address
45503 W MORNING VIEW LN, MARICOPA, AZ 85139-6677
(480) 249-9851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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