OrganizationActive
Assured Dignity Residential Care LLC
NPI 1225788904 · Mental Illness Community Based Residential Treatment Facility · Laveen, AZ
Provider details
- NPI number
- 1225788904
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Badejoko Odetoye, Owner(623) 512-8548
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6850 W Carson Rd
Laveen, AZ 85339-7025
Phone: (623) 512-8548
Approximate (ZIP-level) locationGet directions
Mailing address
6850 W Carson Rd
Laveen, AZ 85339-7025
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.