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Live Well Assisted Living
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Litchfield Park, Arizona
NPI 1528586195

Live Well Assisted Living is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Glendale, AZ. Live Well Assisted Living practices in Litchfield Park, AZ. The NPI Number for Live Well Assisted Living is 1528586195 and holds a License No. BH-5157 (Arizona).

The current practice location address for Live Well Assisted Living is 12634 W Estero Ln, Litchfield Park, AZ and can be reached out via phone at 623-877-3293 and via fax at 855-538-5652.

Location: 12634 W Estero Ln, Litchfield Park, AZ, 85307-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528586195
Provider Name
Live Well Assisted Living
Credential
Provider Entity Type
Organization
Address
12634 W Estero Ln, Litchfield Park, AZ, 85307-4124
Phone Number
623-877-3293
Fax Number
855-538-5652
Provider Enumeration Date
09/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
860056 05 AZ
institution
Provider Business Practice Location Address Details
Address
12634 W Estero Ln
City
Litchfield Park
State
Arizona
Zip
85340-5156
Phone Number
623-877-3293
Fax Number
855-538-5652
person
Provider Business Mailing Address Details
Address
12634 W Estero Ln
City
Litchfield Park
State
Arizona
Zip
85340-5156
Phone Number
623-877-3293
Fax Number
855-538-5652
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH-5157 (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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