NPI 1508233867
Golden Dream Residential Care LLC
Practice location
- Address
- 621 S 115th Dr, Avondale, AZ 85323-9141
- Phone
- (623) 433-8189
- Fax
- (623) 433-9678
Authorised official
- Name
- William Ociti Marino
- Title
- Ower
- Phone
- (602) 299-9030
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1508233867
- Entity type
- Organization
- NPI issued
- 21 Aug 2015
- Record last updated
- 21 Aug 2015
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.