NPI 1609556927

Nathan Care Home

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

Practice location

Address: 7035 S 45th Ave, Laveen, AZ 85339-4289
Phone: (480) 370-1815

Authorised official

Name: Padres Joelle Dountio Tada
Title: Administrator
Phone: (480) 370-1815

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: 1609556927
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.