NPI 1427537091

Benchmark Valley LLC

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

Practice location

Address: 6920 W Carson Rd, Laveen, AZ 85339-7028
Phone: (858) 386-6705
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 Licence BH5437 (AZ)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1427537091
Entity type: Organization
NPI issued: 14 Aug 2018
Record last updated: 2 Jul 2020

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.