institution
Moms House Of Az Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona
NPI 1366064438

Moms House Of Az Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Phoenix, AZ. Moms House Of Az Llc practices in Phoenix, AZ. The NPI Number for Moms House Of Az Llc is 1366064438 and holds a License No. (Arizona).

The current practice location address for Moms House Of Az Llc is 3636 N 3Rd Ave Ste 150, Phoenix, AZ and can be reached out via phone at 510-386-0713.

Location: 3636 N 3Rd Ave Ste 150, Phoenix, AZ, 85013-3943
institution
Provider Profile Details
NPI Number
1366064438
Provider Name
Moms House Of Az Llc
Credential
Provider Entity Type
Organization
Address
3636 N 3Rd Ave Ste 150, Phoenix, AZ, 85013-3943
Phone Number
510-386-0713
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3636 N 3Rd Ave Ste 150
City
State
Zip
85013-3943
Phone Number
510-386-0713
Fax Number
person
Provider Business Mailing Address Details
Address
3636 N 3Rd Ave Ste 150
City
State
Zip
85013-3943
Phone Number
510-386-0713
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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