Organization · NPI-2

Angel Kids Academy LLC

Community/Behavioral Health · Peoria, AZ

NPI number1336607613
StatusActive
Last updated in NPPESMar 6, 2019

Details

NPI
1336607613
Entity type
Organization (NPI-2)
Legal business name
Angel Kids Academy LLC
Organization subpart
No
Enumeration date
Mar 6, 2019
Last updated
Mar 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Our House Residentials (Doing Business As)

Practice location

8910 W Monroe St
Peoria, AZ 85345-6440

Phone 623-418-5132 · Fax 623-877-1845

Mailing address

12384 W Hazelwood St
Avondale, AZ 85392-4275

Phone 623-418-5132 · Fax 623-877-1845

Authorized official

Kanesha Anderson
Owner
6234185132

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