Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1184492357

Providence Health LLC is a Developmentally Disabled Services Day Training Agency in Laveen, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6311 W Magdalena Ln
Laveen, AZ 85339-5483
Phone: (480) 434-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1184492357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victory Ezenwaka — Ceo/Owner · (480) 434-1113
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 16, 2023
Mailing address6311 W Magdalena Ln, Laveen, AZ 85339-5483

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