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Angels' Safe Haven, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Goodyear, Arizona
NPI 1245780964

Angels' Safe Haven, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Surprise, AZ. Angels' Safe Haven, Llc practices in Goodyear, AZ. The NPI Number for Angels' Safe Haven, Llc is 1245780964 and holds a License No. BH5019 (Arizona).

The current practice location address for Angels' Safe Haven, Llc is 2571 N. 149Th Ave, Goodyear, AZ and can be reached out via phone at 623-440-4086 and via fax at 623-440-5939.

Location: 2571 N. 149Th Ave, Goodyear, AZ, 85374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245780964
Provider Name
Angels' Safe Haven, Llc
Credential
Provider Entity Type
Organization
Address
2571 N. 149Th Ave, Goodyear, AZ, 85374
Phone Number
623-440-4086
Fax Number
623-440-5939
Provider Enumeration Date
10/05/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207699 05 AZ
institution
Provider Business Practice Location Address Details
Address
2571 N. 149Th Ave
City
Goodyear
State
Arizona
Zip
85395
Phone Number
623-440-4086
Fax Number
623-440-5939
person
Provider Business Mailing Address Details
Address
2571 N. 149Th Ave
City
Goodyear
State
Arizona
Zip
85395
Phone Number
623-440-4086
Fax Number
623-440-5939
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH5019 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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