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Mata Residential Care Llc
Developmental Disabilities Clinic/Center in Glendale, Arizona
NPI 1952095036

Mata Residential Care Llc is a Developmental Disabilities Clinic/Center based in Glendale, AZ and is specialized in Developmental Disabilities. Mata Residential Care Llc practices in Glendale, AZ. The NPI Number for Mata Residential Care Llc is 1952095036 and holds a License No. (Arizona).

The current practice location address for Mata Residential Care Llc is 8805 W Glenn Dr, Glendale, AZ and can be reached out via phone at 207-408-2792. You can also correspond with Mata Residential Care Llc through the mailing address at 8805 W GLENN DR, GLENDALE, AZ - 85305-6903 (mailing address contact number: 207-408-2792).

Location: 8805 W Glenn Dr, Glendale, AZ, 85305-6903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952095036
Provider Name
Mata Residential Care Llc
Credential
Provider Entity Type
Organization
Address
8805 W Glenn Dr, Glendale, AZ, 85305-6903
Phone Number
207-408-2792
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8805 W Glenn Dr
City
Glendale
State
Arizona
Zip
85305-6903
Phone Number
207-408-2792
Fax Number
person
Provider Business Mailing Address Details
Address
8805 W Glenn Dr
City
Glendale
State
Arizona
Zip
85305-6903
Phone Number
207-408-2792
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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