SEEDS OF LOVE 1 LLC NPI 1104580596

NPI Information

SEEDS OF LOVE 1 LLC is a residential treatment facility, intellectual and/or developmental disabilities in Tolleson, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SEEDS OF LOVE 1 LLC NPI is 1104580596. The provider is registered as an organization entity type.

The provider's business location address is:

2928 S 97TH LN
TOLLESON, AZ
ZIP 85353-525
Phone: (319) 202-2573
Fax: (623) 777-0082

The provider's authorized official is Aimable Seba Byishimo .
The authorized official title is Owner and has the following contact phone number (319) 202-2573.

The enumeration date for this NPI number is 10/22/2021 and was last updated on 10/22/2021.

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:

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