Bethel Homes LLC
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ. Organization (NPI-2).
NPI number1003554239
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1003554239
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethel Homes LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2022
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
217 W Grovers AvePhoenix, AZ 85023-6515
Phone 207-409-7465
Mailing address
217 W Grovers AvePhoenix, AZ 85023-6515
Phone 207-409-7465
Authorized official
Ange Stephie Hodari
Ceo
2074097465
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