institution
Baraka House Llc
Assisted Living Facility (Mental Illness) in Phoenix, Arizona
NPI 1104084383

Baraka House Llc is an Assisted Living Facility (Mental Illness) based in Phoenix, AZ and is specialized in Assisted Living, Mental Illness. Baraka House Llc practices in Phoenix, AZ. The NPI Number for Baraka House Llc is 1104084383 and holds a License No. BH 3059 (Arizona).

The current practice location address for Baraka House Llc is 13619 N 36Th Ave, Phoenix, AZ and can be reached out via phone at 602-824-9100 and via fax at 602-249-8900.

Location: 13619 N 36Th Ave, Phoenix, AZ, 85051-9582
institution
Provider Profile Details
NPI Number
1104084383
Provider Name
Baraka House Llc
Credential
Provider Entity Type
Organization
Address
13619 N 36Th Ave, Phoenix, AZ, 85051-9582
Phone Number
602-824-9100
Fax Number
602-249-8900
Provider Enumeration Date
05/24/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
BH 3059 01 AZ AZ OBHL
institution
Provider Business Practice Location Address Details
Address
13619 N 36Th Ave
City
State
Zip
85029-1103
Phone Number
602-824-9100
Fax Number
602-249-8900
person
Provider Business Mailing Address Details
Address
13619 N 36Th Ave
City
State
Zip
85029-1103
Phone Number
602-824-9100
Fax Number
602-249-8900
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
License No.
BH 3059 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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