Organization · NPI-2
A & H Home-Care LLC
Community Based Residential Treatment Facility, Mental Illness · Phoenix, AZ
NPI number1083323067
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1083323067
- Entity type
- Organization (NPI-2)
- Legal business name
- A & H Home-Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Other names
- A & H Home-Care LLC (Doing Business As)
Practice location
3013 W Pollack StPhoenix, AZ 85041-6380
Phone 612-991-9250
Mailing address
3013 W Pollack StPhoenix, AZ 85041-6380
Phone 612-991-9250
Authorized official
Owolabi Patrick Shabiolegbe
Administrator
6129919250
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