Dw Developmental Homes LLC

NPI #1467198010 in Avondale, Arizona

Provider Information

NPI Number: 1467198010
Entity Type: Organization
Organization Name: Dw Developmental Homes LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 6, 2022
Last Updated: May 6, 2022

Practice Location

Address: 2609 NORTH 107TH AVE
City: Avondale
State: Arizona
ZIP Code: 85353
Phone: (951) 377-2710

Authorized Official

Name: SIMONA SHALLESE WILFRED
Title: CEO
Phone: (951) 377-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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