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1205584695
EZRA GROUP HOME LLC
LAVEEN, AZ
NPI
1205584695
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Entity Type
Organization
Authorized Contact
ZENEBECH GIRMA
Administrator
602-315-2058
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
EZRA GROUP HOME LLC
6818 S 44TH AVE
LAVEEN, AZ 85339-6252
Phone number: 602-315-2058
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Mailing Address
EZRA GROUP HOME LLC
6818 S 44TH AVE
LAVEEN, AZ 85339-6252
Phone number: 602-315-2058
Copy
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