Organization · Type 2 NPI

Mwangaza Residential Care LLC

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1396439667 Active

Practice location

3410 W Ruthann Rd
Tucson, AZ 85745-8749

Call (520) 248-1295 Map

Fax (888) 977-2729

Mailing address

8618 N Western Juniper Ter
Tucson, AZ 85743-7132

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1396439667
Entity type: Organization (Type 2)
Issued: Jun 8, 2023
Last updated: Jun 8, 2023
Status: Active
Subpart: Yes of Mwangaza Residential Care LLC

Other names

Mwangaza Residential Care · former legal business name

Authorized official

Jonah Kibitok Maiyo
Owner/ceo/pro. Dir
(520) 207-9283

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396439667

Mwangaza Residential Care LLC's National Provider Identifier is 1396439667, issued on Jun 8, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 8, 2023.