NPI 1124708607
Live Well Assisted Living LLC
Practice location
- Address
- 4544 N 91st Dr, Phoenix, AZ 85037-2449
- Phone
- (623) 444-7824
Authorised official
- Name
- Desire Rusingizwa
- Title
- Program Director
- Phone
- (623) 877-3764
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1124708607
- Entity type
- Organization
- NPI issued
- 20 Jul 2023
- Record last updated
- 20 Jul 2023
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.