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Mungoh Bc (mbc) Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florence, Arizona
NPI 1639821317

Mungoh Bc (mbc) Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Florence, AZ. Mungoh Bc (mbc) Llc practices in Florence, AZ. The NPI Number for Mungoh Bc (mbc) Llc is 1639821317 and holds a License No. (Arizona).

The current practice location address for Mungoh Bc (mbc) Llc is 24610 N Shelton Way, Florence, AZ and can be reached out via phone at 520-234-1600.

Location: 24610 N Shelton Way, Florence, AZ, 85132-8018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639821317
Provider Name
Mungoh Bc (mbc) Llc
Credential
Provider Entity Type
Organization
Address
24610 N Shelton Way, Florence, AZ, 85132-8018
Phone Number
520-234-1600
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
24610 N Shelton Way
City
Florence
State
Arizona
Zip
85132-8018
Phone Number
520-234-1600
Fax Number
person
Provider Business Mailing Address Details
Address
24610 N Shelton Way
City
Florence
State
Arizona
Zip
85132-8018
Phone Number
520-234-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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