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Mary Group Home Llc
Mental Illness Community Based Residential Treatment Facility in Laveen, Arizona
NPI 1356964753

Mary Group Home Llc is a Mental Illness Community Based Residential Treatment Facility based in Gilbert, AZ. Mary Group Home Llc practices in Laveen, AZ. The NPI Number for Mary Group Home Llc is 1356964753 and holds a License No. (Arizona).

The current practice location address for Mary Group Home Llc is 8021 S 47Th Ln # 169, Laveen, AZ and can be reached out via phone at 480-577-7777.

Location: 8021 S 47Th Ln # 169, Laveen, AZ, 85296-1731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356964753
Provider Name
Mary Group Home Llc
Credential
Provider Entity Type
Organization
Address
8021 S 47Th Ln # 169, Laveen, AZ, 85296-1731
Phone Number
480-577-7777
Fax Number
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8021 S 47Th Ln # 169
City
Laveen
State
Arizona
Zip
85339-2393
Phone Number
480-577-7777
Fax Number
person
Provider Business Mailing Address Details
Address
8021 S 47Th Ln # 169
City
Laveen
State
Arizona
Zip
85339-2393
Phone Number
480-577-7777
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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