Organization
AV CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MUHAMMAD (OWNER/ADMIN)
(803) 600-6939
Entity
Organization
Contact information
Practice address
2267 S 173RD DR, GOODYEAR, AZ 85338-1961
(623) 248-4342
(623) 248-6096
Mailing address
2267 S 173RD DR, GOODYEAR, AZ 85338-1961
(623) 248-4342
(623) 248-6096
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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