institution
Wagoner Care Llc
Mental Illness Community Based Residential Treatment Facility in Glendale, Arizona
NPI 1093373318

Wagoner Care Llc is a Mental Illness Community Based Residential Treatment Facility based in Peoria, AZ. Wagoner Care Llc practices in Glendale, AZ. The NPI Number for Wagoner Care Llc is 1093373318 and holds a License No. (Arizona).

The current practice location address for Wagoner Care Llc is 6127 W Wagoner Rd, Glendale, AZ and can be reached out via phone at 602-334-1788.

Location: 6127 W Wagoner Rd, Glendale, AZ, 85345-8102
institution
Provider Profile Details
NPI Number
1093373318
Provider Name
Wagoner Care Llc
Credential
Provider Entity Type
Organization
Address
6127 W Wagoner Rd, Glendale, AZ, 85345-8102
Phone Number
602-334-1788
Fax Number
Provider Enumeration Date
06/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6127 W Wagoner Rd
City
State
Zip
85308-1150
Phone Number
602-334-1788
Fax Number
person
Provider Business Mailing Address Details
Address
6127 W Wagoner Rd
City
State
Zip
85308-1150
Phone Number
602-334-1788
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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