San Judas Group Home - Phoenix, AZ

San Judas Group Home

Physical Disabilities Residential Treatment Facility in Phoenix, Arizona

NPI 1386969947

San Judas Group Home is a Physical Disabilities Residential Treatment Facility based in Phoenix, AZ. San Judas Group Home practices in Phoenix, AZ. The NPI Number for San Judas Group Home is 1386969947 and holds a License No. ALH6076 (Arizona).

The current practice location address for San Judas Group Home is 5116 S 11Th Ave, Phoenix, AZ and can be reached out via phone at 602-643-5932 and via fax at 602-281-6974.

Location: 5116 S 11Th Ave, Phoenix, AZ, 85041-4000

NPI Number

1386969947

Provider Name

San Judas Group Home

Credential

Provider Entity Type

Organization

Address

5116 S 11Th Ave, Phoenix, AZ, 85041-4000

Phone Number

602-643-5932

Fax Number

602-281-6974

Provider Enumeration Date

04/07/2010

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
203799	05	AZ

Address

5116 S 11Th Ave

City

Phoenix

State

Arizona

Zip

85041-2363

Phone Number

602-643-5932

Fax Number

602-281-6974

Address

5116 S 11Th Ave

City

Phoenix

State

Arizona

Zip

85041-2363

Phone Number

602-643-5932

Fax Number

602-281-6974

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Physical Disabilities

Speciality

Taxonomy

320700000X

License No.

ALH6076 (Arizona)

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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