NPI 1023839420

Lagos House LLC

Organisation Assisted Living Facility (Behavioral Disturbances) Glendale, AZ

Practice location

Address: 12428 N 46th Ave, Glendale, AZ 85304-2314
Phone: (480) 309-7530

Authorised official

Name: Anndeitra Akinosho
Title: Director
Phone: (480) 309-7530

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X

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Registry record

NPI: 1023839420
Entity type: Organization
NPI issued: 18 Oct 2024
Record last updated: 18 Oct 2024

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.