Erastop LLC
Assisted Living Facility, Assisted Living, Behavioral Disturbances in Avondale, AZ. Organization (NPI-2).
NPI number1235901554
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1235901554
- Entity type
- Organization (NPI-2)
- Legal business name
- Erastop LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 30, 2023
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | Yes |
Other names
- Erastop Home 2 (Doing Business As)
Practice location
814 N 111th DrAvondale, AZ 85323-7941
Phone 903-480-2126
Mailing address
814 N 111th DrAvondale, AZ 85323-7941
Phone 903-480-2126
Authorized official
Temitope Makinde-Wells
Administrator
9034802126
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