Impact Home LLC

NPI #1194436337 in Litchfield Park, Arizona

Provider Information

NPI Number: 1194436337
Entity Type: Organization
Organization Name: Impact Home LLC
Primary Specialty: Respite Care
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 13615 W SAN JUAN AVE
City: Litchfield Park
State: Arizona
ZIP Code: 85340-3313
Phone: (623) 205-8111

Authorized Official

Name: MRS. NKECHI H ADENIJI
Title: OWNER
Phone: (623) 205-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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