MWANGAZA RESIDENTIAL CARE LLC NPI 1528330339

NPI Information

NPI: 1528330339
Provider Name: MWANGAZA RESIDENTIAL CARE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
6330 S KOLB RD
TUCSON, AZ
ZIP 85756
Phone: (520) 248-1295
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MWANGAZA RESIDENTIAL CARE LLC is a community based residential treatment facility mental illness in Tucson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MWANGAZA RESIDENTIAL CARE LLC NPI is 1528330339. The provider is registered as an organization entity type.

The provider's business location address is:

6330 S KOLB RD
TUCSON, AZ
ZIP 85756-287
Phone: (520) 248-1295
Fax: (520) 338-2490

The provider's authorized official is Jonah Kibitok Maiyo .
The authorized official title is Ceo/program Director and has the following contact phone number (520) 248-1295.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 10/9/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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