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Legendary Family Care Company Llc
Mental Illness Community Based Residential Treatment Facility in Casa Grande, Arizona
NPI 1528704640

Legendary Family Care Company Llc is a Mental Illness Community Based Residential Treatment Facility based in Casa Grande, AZ. Legendary Family Care Company Llc practices in Casa Grande, AZ. The NPI Number for Legendary Family Care Company Llc is 1528704640 and holds a License No. (Arizona).

The current practice location address for Legendary Family Care Company Llc is 263 W Bobcat Ct, Casa Grande, AZ and can be reached out via phone at 414-731-9004.

Location: 263 W Bobcat Ct, Casa Grande, AZ, 85122-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528704640
Provider Name
Legendary Family Care Company Llc
Credential
Provider Entity Type
Organization
Address
263 W Bobcat Ct, Casa Grande, AZ, 85122-1043
Phone Number
414-731-9004
Fax Number
Provider Enumeration Date
05/11/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH7573 01 AZ AZ DEPARTMENT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
263 W Bobcat Ct
City
Casa Grande
State
Arizona
Zip
85122-1043
Phone Number
414-731-9004
Fax Number
person
Provider Business Mailing Address Details
Address
263 W Bobcat Ct
City
Casa Grande
State
Arizona
Zip
85122-1043
Phone Number
414-731-9004
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
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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