MOSES BEHAVIORAL CARE
Residential Treatment Facilities at Port Royale Ln, Sun City, AZ

License number
Arizona BH4520
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: ELIZABETH AGBOOLA
Title: ADMINISTRATOR
Phone: (480) 286-3366
Address
Address
17622 W Port Royale Ln, Sun City, AZ 85379
National Provider ID: 1255725248
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MOSES BEHAVIORAL CARE

17622 W Prt Royale Ln, Surprise, AZ

Industry:
Health care
Registration:
Feb 2, 2015
Phone:
(623) 792-5059 (Phone)
State ID:
614402
Business type:
Trade Name
Owner:
Moses Assisted Living Llc (Owner), 17622 W Prt Royale Ln, Surprise, AZ 85379 (Physical)

MOSES BEHAVIORAL CARE LLC

12622 W Prt Royale Ln, Surprise, AZ 85379

Registration:
Sep 26, 2012
State ID:
L-1792355-5
Expiration:
PERPETUAL
Managers:
Clement Ade Agboola (Manager), 7407 S 45 Ave, Laveen, AZ 85339 (Physical),Bukunola F Agboola (Manager), 7407 S 45 Ave, Laveen, AZ 85339 (Physical)

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