M & M RESIDENTIAL HOME LLC NPI 1336646678

NPI Information

M & M RESIDENTIAL HOME LLC is a community based residential treatment facility mental illness in Peoria, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. M & M RESIDENTIAL HOME LLC NPI is 1336646678. The provider is registered as an organization entity type.

The provider's business location address is:

8572 W PALO VERDE AVE
PEORIA, AZ
ZIP 85345-354
Phone: (623) 249-3105
Fax: (623) 249-3105

The provider's authorized official is Mavis Panford .
The authorized official title is Program Director and has the following contact phone number (573) 855-1210.

The enumeration date for this NPI number is 4/12/2018 and was last updated on 4/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.