Arizona Destiny Homes LLC
Nursing Care in Goodyear, AZ. Organization (NPI-2).
NPI number1841075868
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1841075868
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Destiny Homes LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
16534 W Lilac StGoodyear, AZ 85338-4535
Phone 623-428-3154
Mailing address
16534 W Lilac StGoodyear, AZ 85338-4535
Phone 623-428-3154
Authorized official
Emily Kemunto Orori
Owner
6234283154
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