St Patrick Health Care Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Casa Grande, AZ. Organization (NPI-2).
NPI number1710691548
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1710691548
- Entity type
- Organization (NPI-2)
- Legal business name
- St Patrick Health Care Services
- Organization subpart
- No
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1087 W Avalon Canyon DrCasa Grande, AZ 85122-6706
Phone 202-469-1352
Mailing address
1087 W Avalon Canyon DrCasa Grande, AZ 85122-6706
Phone 202-469-1352
Authorized official
Patrick Mbah
Owner/Administrator
2024691352
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