Family Home LLC

NPI #1396520011 in Avondale, Arizona

Provider Information

NPI Number
1396520011
Entity Type
Organization
Organization Name
Family Home LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 30, 2023
Last Updated
Aug 30, 2023

Practice Location

Address
10423 W EDGEMONT DR
State
Arizona
ZIP Code
85392-4652
Phone
(480) 358-7850

Authorized Official

Name
MOJOK AJAWIN
Title
MANAGER/OWNER
Phone
(480) 358-7850

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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