Smartlivin LLC
Community Based Residential Treatment Facility, Mental Illness in Maricopa, AZ. Organization (NPI-2).
NPI number1710620596
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1710620596
- Entity type
- Organization (NPI-2)
- Legal business name
- Smartlivin LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2022
- Certification date
- Apr 19, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
17302 N Rosa DrMaricopa, AZ 85138-1837
Phone 480-603-5671
Mailing address
17302 N Rosa DrMaricopa, AZ 85138-1837
Phone 480-603-5671
Authorized official
Omoniyi O Talabi
Administrator
4806035671
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