Organization · NPI-2

A Home For Me LLC

Community Based Residential Treatment Facility, Mental Illness · Phoenix, AZ

NPI number1346815560
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1346815560
Entity type
Organization (NPI-2)
Legal business name
A Home For Me LLC
Organization subpart
No
Enumeration date
May 20, 2021
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

1810 W Southern Ave Ste 103
Phoenix, AZ 85041-4652

Phone 480-631-4783

Mailing address

1810 W Southern Ave Ste 103
Phoenix, AZ 85041-4652

Phone 480-631-4783

Authorized official

Karen Berry
Director
7203651059

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