Opert.Cert.Amendment_12.11.2024.Kylee_s_House_Redacted.pdf

118 KB Posted

Attached to
Master Agreement AZ|CTR071422
Contract number
CTR071422
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is an Operating Certificate issued by the Arizona Department of Child Safety's Office of Licensing and Regulation for Elite Power Group Homes, LLC. The certificate pertains to a Child Welfare Residential Group Care Facility located in Pinal County, Arizona, and is specifically for a facility named "Kylee's House".

The operating certificate authorizes the facility to provide residential group care services for ten (10) male children between the ages of fifteen to seventeen (15-17) years. The license is an amendment for a new facility, effective December 11, 2024, and will expire on September 5, 2025, unless revoked or suspended. The facility's Provider ID Number is 884318741, and it was issued in Phoenix, Arizona on the 4th day of September, 2024, by the Licensing Authority.

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