Organization · NPI-2
Ndg Adult Care Home LLC
Residential Treatment Facility, Physical Disabilities · Tempe, AZ
NPI number1184150484
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1184150484
- Entity type
- Organization (NPI-2)
- Legal business name
- Ndg Adult Care Home LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2017
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | AL7288H | AZ | Yes |
Practice location
1106 W 9th StTempe, AZ 85281-5304
Phone 480-894-2902
Mailing address
1106 W 9th StTempe, AZ 85281-5304
Phone 480-894-2902
Authorized official
Nellie Galit
Licensee
4808942902
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