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Forever Place Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Goodyear, Arizona
NPI 1356948954

Forever Place Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Goodyear, AZ. Forever Place Llc practices in Goodyear, AZ. The NPI Number for Forever Place Llc is 1356948954 and holds a License No. (Arizona).

The current practice location address for Forever Place Llc is 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ and can be reached out via phone at 567-225-4008.

Location: 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ, 85395-9028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356948954
Provider Name
Forever Place Llc
Credential
Provider Entity Type
Organization
Address
4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ, 85395-9028
Phone Number
567-225-4008
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4200 N Pebble Creek Pkwy Apt 2069
City
Goodyear
State
Arizona
Zip
85395-9028
Phone Number
567-225-4008
Fax Number
person
Provider Business Mailing Address Details
Address
4200 N Pebble Creek Pkwy Apt 2069
City
Goodyear
State
Arizona
Zip
85395-9028
Phone Number
567-225-4008
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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