Huduma House, Llc - Phoenix, AZ

Huduma House, Llc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, Arizona

NPI 1386102788

Huduma House, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Phoenix, AZ. Huduma House, Llc practices in Phoenix, AZ. The NPI Number for Huduma House, Llc is 1386102788 and holds a License No. (Arizona).

The current practice location address for Huduma House, Llc is 6221 W Illini St, Phoenix, AZ and can be reached out via phone at 602-516-9785.

Location: 6221 W Illini St, Phoenix, AZ, 85043-1915

NPI Number

1386102788

Provider Name

Huduma House, Llc

Credential

Provider Entity Type

Organization

Address

6221 W Illini St, Phoenix, AZ, 85043-1915

Phone Number

602-516-9785

Fax Number

Provider Enumeration Date

03/05/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
BH5656	01	AZ	ARIZONA DEPARTMENT OF HEALTH SERVICES

Address

6221 W Illini St

City

Phoenix

State

Arizona

Zip

85043-1915

Phone Number

602-516-9785

Fax Number

Address

6221 W Illini St

City

Phoenix

State

Arizona

Zip

85043-1915

Phone Number

602-516-9785

Fax Number

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.

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