M & M Residential Home LLC

NPI #1336646678 in Peoria, Arizona

Provider Information

NPI Number: 1336646678
Entity Type: Organization
Organization Name: M & M Residential Home LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 8572 W PALO VERDE AVE
City: Peoria
State: Arizona
ZIP Code: 85345-5354
Phone: (623) 249-3105

Authorized Official

Name: MAVIS PANFORD
Title: PROGRAM DIRECTOR
Phone: (573) 855-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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