Seeds Of Love 1 LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tolleson, AZ. Organization (NPI-2).
NPI number1104580596
StatusActive
Last updated in NPPESOct 22, 2021
Details
- NPI
- 1104580596
- Entity type
- Organization (NPI-2)
- Legal business name
- Seeds Of Love 1 LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2021
- Certification date
- Oct 22, 2021
- Last updated
- Oct 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Seeds Of Love 1 (Doing Business As)
Practice location
2928 S 97th LnTolleson, AZ 85353-8525
Phone 319-202-2573 · Fax 623-777-0082
Mailing address
2701 N 16th St Ste 108Phoenix, AZ 85006-1264
Phone 319-202-2573
Authorized official
Aimable Seba Byishimo
Owner
3192022573
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