Organization · Type 2 NPI
Golden Dream Residential Care LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Avondale, AZ
Practice location
621 S 115th Dr
Avondale, AZ 85323-9141
Fax (623) 433-9678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | BH4619 (AZ) |
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 1508233867
Golden Dream Residential Care LLC's National Provider Identifier is 1508233867, issued on Aug 21, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Avondale, AZ. The record was last updated on Aug 21, 2015.