Love Shines Behavioral Health Homes LLC
Custodial Care Facility, Adult Care Home in Phoenix, AZ. Organization (NPI-2).
NPI number1164070819
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1164070819
- Entity type
- Organization (NPI-2)
- Legal business name
- Love Shines Behavioral Health Homes LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 27, 2019
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
16401 N 39th PlPhoenix, AZ 85032-3246
Phone 949-630-1715
Mailing address
16401 N 39th PlPhoenix, AZ 85032-3246
Authorized official
Lucas Muturi
Director
4803345668
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