AZ INTERACT LLC
Residential Treatment Facilities at Caribe Ln, Glendale, AZ

License number
Arizona BH4514
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Arizona BH4801
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Arizona BH4802
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: EDUARDO SANTANA
Title: SUPERVISOR
Phone: (602) 487-8806
Address
Address 2
6055 WEST Caribe Ln, Glendale, AZ 85306
2325 W DESPERADO WAY, Phoenix, AZ 85085
National Provider ID: 1427502947
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AZ INTERACT LLC at bizstanding.com

AZ INTERACT LLC

2325 W Desperado Way, Phoenix, AZ 85085

Registration:
Jun 24, 2014
State ID:
L-1935127-0
Expiration:
PERPETUAL
Members:
Rodolfo Vega (Member), 4309 W Corrine Dr, Glendale, AZ 85304 (Physical),Carlos Torres (Member), 4767 W Taro Dr, Glendale, AZ 85308 (Physical),Eduardo Santana (Member), 7020 W Cavalier Dr, Glendale, AZ 85303 (Physical)

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