| NPI | 1811527047 |
|---|---|
| Doing Business As | LIVE WELL RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | DESIRE RUSINGIZWA Program Director 623-877-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |