AGAVE RESIDENTIAL CARE HOME, LLC is a community based residential treatment facility mental illness in Laveen, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. AGAVE RESIDENTIAL CARE HOME, LLC NPI is 1376058065. The provider is registered as an organization entity type.
The provider's business location address is:
5628 W GLASS LN
LAVEEN, AZ
ZIP 85339-278
Phone: (602) 802-9655
The provider's authorized official is Amanda Ubiebor .
The authorized official title is Administrator and has the following contact phone number (602) 802-9655.
The enumeration date for this NPI number is 12/5/2017 and was last updated on 8/28/2021.