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Prestige Residential Home Llc
Mental Illness Community Based Residential Treatment Facility in Queen Creek, Arizona
NPI 1154061398

Prestige Residential Home Llc is a Mental Illness Community Based Residential Treatment Facility based in Queen Creek, AZ. Prestige Residential Home Llc practices in Queen Creek, AZ. The NPI Number for Prestige Residential Home Llc is 1154061398 and holds a License No. (Arizona).

The current practice location address for Prestige Residential Home Llc is 22367 E Desert Spoon Dr, Queen Creek, AZ and can be reached out via phone at 480-307-9984. You can also correspond with Prestige Residential Home Llc through the mailing address at 22367 E DESERT SPOON DR, QUEEN CREEK, AZ - 85142-1235 (mailing address contact number: 480-307-9984).

Location: 22367 E Desert Spoon Dr, Queen Creek, AZ, 85142-1235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154061398
Provider Name
Prestige Residential Home Llc
Credential
Provider Entity Type
Organization
Address
22367 E Desert Spoon Dr, Queen Creek, AZ, 85142-1235
Phone Number
480-307-9984
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
22367 E Desert Spoon Dr
City
Queen Creek
State
Arizona
Zip
85142-1235
Phone Number
480-307-9984
Fax Number
person
Provider Business Mailing Address Details
Address
22367 E Desert Spoon Dr
City
Queen Creek
State
Arizona
Zip
85142-1235
Phone Number
480-307-9984
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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