Living Hope Residential Care LLC

NPI #1568179679 in Laveen, Arizona

Provider Information

NPI Number: 1568179679
Entity Type: Organization
Organization Name: Living Hope Residential Care LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 5023 W LYNNE LN
City: Laveen
State: Arizona
ZIP Code: 85339-4243
Phone: (623) 900-8607

Authorized Official

Name: USIBONGE MULUMBI
Title: PROGRAM DIRECTOR
Phone: (623) 900-8607

Specialties & Taxonomy Codes

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

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