D&g Providence Care LLC
D&g Providence Care LLC is a Community/Behavioral Health Agency in Peoria, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9186 W John Cabot RdPeoria, AZ 85382-7716
Phone: (480) 285-5907
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1598473290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Gasore Kabunda — Manager · (480) 285-5907 |
| NPI enumerated | November 10, 2022 |
| Last updated in NPPES | November 10, 2022 |
| Certification date | November 9, 2022 |
| Mailing address | 9186 W John Cabot Rd, Peoria, AZ 85382-7716 |
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