E&g Residential Care LLC

NPI #1003560905 in Phoenix, Arizona

Provider Information

NPI Number: 1003560905
Entity Type: Organization
Organization Name: E&g Residential Care LLC
Primary Specialty: Behavior Technician
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 9141 W SELLS DR
City: Phoenix
State: Arizona
ZIP Code: 85037-0806
Phone: (623) 432-6891

Authorized Official

Name: ERIC YAMUREMYE
Title: ADMINISTRATOR
Phone: (623) 432-6891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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