NPI 1003577222
Joondalup Prestige LLC
Practice location
- Address
- 8509 S 41st Dr, Laveen, AZ 85339-7823
- Phone
- (858) 344-4746
- Fax
- (480) 546-4743
Authorised official
- Name
- Mercy Wendy Muthoni
- Title
- Administrator
- Phone
- (858) 344-4746
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1003577222
- Entity type
- Organization
- NPI issued
- 10 Jan 2022
- Record last updated
- 10 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.