Loloma House LLC
Loloma House LLC is a Mental Illness Community Based Residential Treatment Facility in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2015.
- Licensed in
- AZ
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7402 W Shangri La RdPeoria, AZ 85345-5812
Phone: (623) 418-6657
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
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence BH4687 (AZ) |
|---|
Record details
| NPI number | 1063886075 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laura Hornback — Owner/Administrative Officer · (623) 418-6657 |
| NPI enumerated | November 16, 2015 |
| Last updated in NPPES | November 16, 2015 |
| Mailing address | 7402 W Shangri La Rd, Peoria, AZ 85345-5812 |
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