NPI 1104580596

Seeds of Love 1 LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Tolleson, AZ

Practice location

Address: 2928 S 97th Ln, Tolleson, AZ 85353-8525
Phone: (319) 202-2573
Fax: (623) 777-0082
Mailing address: 2701 N 16th St STE 108, Phoenix, AZ 85006-1264

Authorised official

Name: Aimable Seba Byishimo
Title: Owner
Phone: (319) 202-2573

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1104580596
Entity type: Organization
NPI issued: 22 Oct 2021
Record last updated: 22 Oct 2021

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.