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Valley Home Behavioral Health LLC

Nursing Home Administrator in Phoenix, AZ. Organization (NPI-2).

NPI number1700549417
StatusActive
Last updated in NPPESOct 19, 2021

Details

NPI
1700549417
Entity type
Organization (NPI-2)
Legal business name
Valley Home Behavioral Health LLC
Organization subpart
No
Enumeration date
Oct 19, 2021
Certification date
Oct 19, 2021
Last updated
Oct 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376G00000X Nursing Home Administrator––Yes

Practice location

3142 W Marshall Ave
Phoenix, AZ 85017-2420

Phone 773-766-1999

Mailing address

3142 W Marshall Ave
Phoenix, AZ 85017-2420

Phone 773-766-1999

Authorized official

Peter G Mator
Owner
7737661999

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