Golden Dream Residential Care LLC

NPI #1508233867 in Avondale, Arizona

Provider Information

NPI Number
1508233867
Entity Type
Organization
Organization Name
Golden Dream Residential Care LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 21, 2015
Last Updated
Aug 21, 2015

Practice Location

Address
621 S 115TH DR
State
Arizona
ZIP Code
85323-9141
Phone
(623) 433-8189

Authorized Official

Name
MR. WILLIAM OCITI MARINO
Title
OWER
Phone
(602) 299-9030

Specialties & Taxonomy Codes

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

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