Dw Developmental Homes Llc

LBN: Dw Developmental Homes Llc
Dw Developmental Homes Llc is an health care organization with primary practice located at 2609 North 107Th Ave , Avondale AZ 85353. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Dw Developmental Homes Llc can be contacted via phone (951) 377-2710, or through Wilfred, Simona Shallese via phone (951) 377-2710.

Contact Information

Primary practice address
2609 North 107Th Ave Avondale AZ 85353
Phone: (951) 377-2710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilfred, Simona Shallese
Phone: (951) 377-2710

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1467198010
LBN Legal business name Dw Developmental Homes Llc
DBA Doing business as
Authorized official Wilfred, Simona Shallese
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2022
Last updated May 6th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467198010 NPPES
Arizona MEDICAID 00000000

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