AGAVE RESIDENTIAL CARE HOME, LLC

Community Based Residential Treatment Facility, Mental Illness

Active Organization
NPI: 1376058065

Practice Address

5628 W GLASS LN
Laveen, AZ 85339

Phone: (602) 802-9655

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes BH301 (AZ)

Frequently Asked Questions

NPI 1376058065 is the National Provider Identifier for AGAVE RESIDENTIAL CARE HOME, LLC, a Community Based Residential Treatment Facility, Mental Illness provider located in Laveen, AZ. This NPI was enumerated on December 5, 2017.

Quick Facts

NPI
1376058065
Type
Organization
Enumerated
Dec 5, 2017
Last Updated
Jan 22, 2026

Nearby Providers