Mungoh Bc (mbc) LLC

NPI #1639821317 in Florence, Arizona

Provider Information

NPI Number: 1639821317
Entity Type: Organization
Organization Name: Mungoh Bc (mbc) LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 24, 2022
Last Updated: Jan 24, 2022

Practice Location

Address: 24610 N SHELTON WAY
City: Florence
State: Arizona
ZIP Code: 85132-8018
Phone: (520) 234-1600

Authorized Official

Name: MARY AKWAR
Title: ADMINSTRATOR
Phone: (480) 234-1509

Specialties & Taxonomy Codes

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

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