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Desert Agave Homes Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Avondale, Arizona
NPI 1780275537

Desert Agave Homes Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Mesa, AZ. Desert Agave Homes Llc practices in Avondale, AZ. The NPI Number for Desert Agave Homes Llc is 1780275537 and holds a License No. (Arizona).

The current practice location address for Desert Agave Homes Llc is 810 S 124Th Ave, Avondale, AZ and can be reached out via phone at 623-242-7962. You can also correspond with Desert Agave Homes Llc through the mailing address at 3403 E DIAMOND AVE, MESA, AZ - 85204-4017 (mailing address contact number: 646-460-1913).

Location: 810 S 124Th Ave, Avondale, AZ, 85204-4017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780275537
Provider Name
Desert Agave Homes Llc
Credential
Provider Entity Type
Organization
Address
810 S 124Th Ave, Avondale, AZ, 85204-4017
Phone Number
623-242-7962
Fax Number
Provider Enumeration Date
02/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
810 S 124Th Ave
City
Avondale
State
Arizona
Zip
85323-8490
Phone Number
623-242-7962
Fax Number
person
Provider Business Mailing Address Details
Address
810 S 124Th Ave
City
Avondale
State
Arizona
Zip
85323-8490
Phone Number
623-242-7962
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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