NPI 1467198010
Dw Developmental Homes LLC
Practice location
- Address
- 2609 North 107th Ave, Avondale, AZ 85353
- Phone
- (951) 377-2710
- Mailing address
- 9035 W Globe Ave, Tolleson, AZ 85353-8642
Authorised official
- Name
- Simona Shallese Wilfred
- Title
- Ceo
- Phone
- (951) 377-2710
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1467198010
- Entity type
- Organization
- NPI issued
- 6 May 2022
- Record last updated
- 6 May 2022
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.