| E&g Residential Care Llc | |
|
9141 W Sells Dr Phoenix AZ 85037-0806 | |
| (623) 432-6891 | |
| Not Available |
| Full Name | E&g Residential Care Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 9141 W Sells Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Eric Yamuremye (ADMINISTRATOR) |
| Authorized Official Contact | 6234326891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E&g Residential Care Llc 8779 W Windsor Dr Peoria AZ 85381-5110 Ph: (623) 432-6891 | E&g Residential Care Llc 9141 W Sells Dr Phoenix AZ 85037-0806 Ph: (623) 432-6891 |
| NPI Number | 1003560905 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003560905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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