Organization · Type 2 NPI
Forever Place LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Goodyear, AZ
Practice location
4200 N Pebble Creek Pkwy Apt 2069
Goodyear, AZ 85395-9028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1356948954
Forever Place LLC's National Provider Identifier is 1356948954, issued on Oct 6, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Goodyear, AZ. The record was last updated on Oct 6, 2020.