Organization · NPI-2

Foundation For Dignity Care LLC

Community Based Residential Treatment Facility, Mental Illness · Peoria, AZ

NPI number1194428581
StatusActive
Last updated in NPPESMar 23, 2023

Details

NPI
1194428581
Entity type
Organization (NPI-2)
Legal business name
Foundation For Dignity Care LLC
Organization subpart
No
Enumeration date
Mar 23, 2023
Certification date
Jan 22, 2023
Last updated
Mar 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Other names

  • Foundation For Dignity Care LLC (Doing Business As)

Practice location

7120 W Sunnyslope Ln
Peoria, AZ 85345-7287

Phone 623-512-8447

Mailing address

7120 W Sunnyslope Ln
Peoria, AZ 85345-7287

Phone 623-512-8447

Authorized official

Kadiatu Koroma
Co-Founder & Administrator
6235128447

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