OrganizationActive
Mata Residential Care LLC
NPI 1952095036 · Developmental Disabilities Clinic/Center · Glendale, AZ
Provider details
- NPI number
- 1952095036
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mata Residential Care LLC
- Organization subpart
- Yes
- Authorized official
- Sonia Ntare, Ceo(207) 408-2792
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8805 W Glenn Dr
Glendale, AZ 85305-6903
Phone: (207) 408-2792
Approximate (ZIP-level) locationGet directions
Mailing address
8805 W Glenn Dr
Glendale, AZ 85305-6903
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.