ANGIE'S LLC NPI 1043816572

NPI Information

NPI: 1043816572
Provider Name: ANGIE'S LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
16796 W PIERCE ST
GOODYEAR, AZ
ZIP 85338
Phone: (623) 215-2767
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ANGIE'S LLC is a community based residential treatment facility mental illness in Goodyear, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ANGIE'S LLC NPI is 1043816572. The provider is registered as an organization entity type.

The provider's business location address is:

16796 W PIERCE ST
GOODYEAR, AZ
ZIP 85338-167
Phone: (623) 215-2767
Fax: (623) 215-2927

The provider's authorized official is Mireille Mukiza .
The authorized official title is Cao and has the following contact phone number (623) 792-0191.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/9/2020.

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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