institution
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. You can also correspond with San Judas Group Home through the mailing address at 5415 S 5TH AVE, PHOENIX, AZ - 85041-4000 (mailing address contact number: 602-643-5932).

Location: 5116 S 11Th Ave, Phoenix, AZ, 85041-4000
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
203799 05 AZ
institution
Provider Business Practice Location Address Details
Address
5116 S 11Th Ave
City
State
Zip
85041-2363
Phone Number
602-643-5932
Fax Number
602-281-6974
person
Provider Business Mailing Address Details
Address
5116 S 11Th Ave
City
State
Zip
85041-2363
Phone Number
602-643-5932
Fax Number
602-281-6974
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
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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