NPI 1396310330

Benchmark Valley LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Laveen, AZ

Practice location

Address: 4630 W Fremont Rd, Laveen, AZ 85339-4277
Phone: (858) 386-6705
Fax: (602) 603-3981
Mailing address: 5625 W Euclid Ave, Laveen, AZ 85339-5247

Authorised official

Name: Titus Kimani Mwangi
Title: Administrator
Phone: (858) 386-6705

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1396310330
Entity type: Organization
NPI issued: 21 May 2021
Record last updated: 21 May 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.