Forever Place Llc

LBN: Forever Place Llc
Forever Place Llc is an health care organization with primary practice located at 4200 N Pebble Creek Pkwy Apt 2069 , Goodyear AZ 85395-9028. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Forever Place Llc can be contacted via phone (567) 225-4008, or through Evans, Lachoniquie via phone (567) 225-4008.

Contact Information

Primary practice address
4200 N Pebble Creek Pkwy Apt 2069 Goodyear AZ 85395-9028
Phone: (567) 225-4008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Lachoniquie
Phone: (567) 225-4008

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1356948954
LBN Legal business name Forever Place Llc
DBA Doing business as
Authorized official Evans, Lachoniquie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 4 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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