Organization
MATA RESIDENTIAL CARE LLC
Active
Organization
MATA RESIDENTIAL CARE LLC
Active
Parent organization
MATA RESIDENTIAL CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATA RESIDENTIAL CARE LLC
Authorized official
SONIA U NTARE (CEO)
(207) 408-2792
Entity
Organization
Contact information
Practice address
8805 W GLENN DR, GLENDALE, AZ 85305-6903
(207) 408-2792
Mailing address
8805 W GLENN DR, GLENDALE, AZ 85305-6903
(207) 408-2792
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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