| Prosperous Recovery Homes Llc | |
|
18744 W San Juan Ave Litchfield Park AZ 85340-0019 | |
| (818) 445-0567 | |
| Not Available |
| Full Name | Prosperous Recovery Homes Llc |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 18744 W San Juan Ave, Litchfield Park, Arizona |
| Authorized Official Name and Position | Christopher Mugwanya (CEO) |
| Authorized Official Contact | 8184450567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperous Recovery Homes Llc 18744 W San Juan Ave Litchfield Park AZ 85340-0019 Ph: () - | Prosperous Recovery Homes Llc 18744 W San Juan Ave Litchfield Park AZ 85340-0019 Ph: (818) 445-0567 |
| NPI Number | 1972370500 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972370500 | NPI | - | NPPES |
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