institution
Fuller Life Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona
NPI 1780329524

Fuller Life Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Phoenix, AZ. Fuller Life Llc practices in Phoenix, AZ. The NPI Number for Fuller Life Llc is 1780329524 and holds a License No. (Arizona).

The current practice location address for Fuller Life Llc is 10720 W Indian School Rd # 19-154, Phoenix, AZ and can be reached out via phone at 480-286-0568.

Location: 10720 W Indian School Rd # 19-154, Phoenix, AZ, 85037-5721
institution
Provider Profile Details
NPI Number
1780329524
Provider Name
Fuller Life Llc
Credential
Provider Entity Type
Organization
Address
10720 W Indian School Rd # 19-154, Phoenix, AZ, 85037-5721
Phone Number
480-286-0568
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10720 W Indian School Rd # 19-154
City
State
Zip
85037-5721
Phone Number
480-286-0568
Fax Number
person
Provider Business Mailing Address Details
Address
10720 W Indian School Rd # 19-154
City
State
Zip
85037-5721
Phone Number
480-286-0568
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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