Joondalup Prestige LLC

NPI #1629712351 in Laveen, Arizona

Provider Information

NPI Number: 1629712351
Entity Type: Organization
Organization Name: Joondalup Prestige LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 27, 2022
Last Updated: Apr 27, 2022

Practice Location

Address: 7836 S 45TH AVE
City: Laveen
State: Arizona
ZIP Code: 85339-5456
Phone: (858) 344-4746

Authorized Official

Name: MERCY WENDY MUTHONI, RN
Title: ADMINISTRATOR
Phone: (858) 344-4746

Specialties & Taxonomy Codes

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

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