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1689719650
FOR LIFE SERVICES-COMMUNITY CARE, LLC
SURPRISE, AZ
NPI
1689719650
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Entity Type
Organization
Authorized Contact
TRA AHIA
CEO
602-405-4962
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: AZ BH 2690)
Enumeration Date
2007-02-20
Last Update Date
2013-03-14
Business Address
FOR LIFE SERVICES-COMMUNITY CARE, LLC
16671 N LITCHFIELD RD APT 223
SURPRISE, AZ 85374-7080
Phone number: 602-405-4962
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Mailing Address
FOR LIFE SERVICES-COMMUNITY CARE, LLC
PO BOX 8222
SURPRISE, AZ 85374-0120
Phone number: 602-405-4962
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