Prestige Group Homes
Assisted Living Facility, Assisted Living, Behavioral Disturbances in Phoenix, AZ. Organization (NPI-2).
NPI number1275042657
StatusActive
Last updated in NPPESSep 28, 2017
Details
- NPI
- 1275042657
- Entity type
- Organization (NPI-2)
- Legal business name
- Prestige Group Homes
- Organization subpart
- No
- Enumeration date
- Sep 28, 2017
- Last updated
- Sep 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | BH5146 | AZ | Yes |
Practice location
28001 N 31st AvePhoenix, AZ 85083
Phone 520-461-9155
Mailing address
28001 N 31st AvePhoenix, AZ 85083-8603
Authorized official
Jamil Anouti
Owner
5204619155
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