Dalia Homecare Mariposa
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ. Organization (NPI-2).
NPI number1013733765
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1013733765
- Entity type
- Organization (NPI-2)
- Legal business name
- Dalia Homecare Mariposa
- Organization subpart
- Yes
- Enumeration date
- Nov 26, 2024
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Dalia Homecare (Other Name)
Practice location
11217 W Mariposa DrPhoenix, AZ 85037-5039
Phone 602-757-2927 · Fax 480-503-8120
Mailing address
426 W Beautiful LnPhoenix, AZ 85041-8013
Phone 602-757-2927 · Fax 480-503-8120
Authorized official
Darius Cox
Owner
6027572927
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