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1952095036
MATA RESIDENTIAL CARE LLC
GLENDALE, AZ
NPI
1952095036
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Entity Type
Organization
Authorized Contact
SONIA U NTARE
CEO
207-408-2792
Organization Subpart ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
MATA RESIDENTIAL CARE LLC
8805 W GLENN DR
GLENDALE, AZ 85305-6903
Phone number: 207-408-2792
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Mailing Address
MATA RESIDENTIAL CARE LLC
8805 W GLENN DR
GLENDALE, AZ 85305-6903
Phone number: 207-408-2792
Copy
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