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Presidential Mansioncare, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goodyear, Arizona
NPI 1437532991

Presidential Mansioncare, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Goodyear, AZ. Presidential Mansioncare, Llc practices in Goodyear, AZ. The NPI Number for Presidential Mansioncare, Llc is 1437532991 and holds a License No. BH2753 (Arizona).

The current practice location address for Presidential Mansioncare, Llc is 18428 W Miami St, Goodyear, AZ and can be reached out via phone at 623-202-9583 and via fax at 623-882-0715.

Location: 18428 W Miami St, Goodyear, AZ, 85338-7324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437532991
Provider Name
Presidential Mansioncare, Llc
Credential
Provider Entity Type
Organization
Address
18428 W Miami St, Goodyear, AZ, 85338-7324
Phone Number
623-202-9583
Fax Number
623-882-0715
Provider Enumeration Date
07/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18428 W Miami St
City
Goodyear
State
Arizona
Zip
85338-7490
Phone Number
623-202-9583
Fax Number
623-882-0715
person
Provider Business Mailing Address Details
Address
18428 W Miami St
City
Goodyear
State
Arizona
Zip
85338-7490
Phone Number
623-202-9583
Fax Number
623-882-0715
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH2753 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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