Healthcare Provider Details

I. General information

NPI: 1023310372
Provider Name (Legal Business Name): YOUNG FAMILY CARE HOMES AND INVESTMENTS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2010
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19331 E VIA DE PALMAS
QUEEN CREEK AZ
85142-9732
US

IV. Provider business mailing address

19331 E VIA DE PALMAS
QUEEN CREEK AZ
85142-9732
US

V. Phone/Fax

Practice location:
  • Phone: 480-888-0456
  • Fax: 480-655-5601
Mailing address:
  • Phone: 480-888-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberAL8195H
License Number StateAZ

VIII. Authorized Official

Name: MR. TROY LEE YOUNG
Title or Position: OWNER,CEO
Credential:
Phone: 480-888-0456