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Benchmark Valley Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Laveen, Arizona
NPI 1396310330

Benchmark Valley Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Laveen, AZ. Benchmark Valley Llc practices in Laveen, AZ. The NPI Number for Benchmark Valley Llc is 1396310330 and holds a License No. (Arizona).

The current practice location address for Benchmark Valley Llc is 4630 W Fremont Rd, Laveen, AZ and can be reached out via phone at 858-386-6705 and via fax at 602-603-3981.

Location: 4630 W Fremont Rd, Laveen, AZ, 85339-5247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396310330
Provider Name
Benchmark Valley Llc
Credential
Provider Entity Type
Organization
Address
4630 W Fremont Rd, Laveen, AZ, 85339-5247
Phone Number
858-386-6705
Fax Number
602-603-3981
Provider Enumeration Date
05/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6433 01 AZ ADHS
institution
Provider Business Practice Location Address Details
Address
4630 W Fremont Rd
City
Laveen
State
Arizona
Zip
85339-4277
Phone Number
858-386-6705
Fax Number
602-603-3981
person
Provider Business Mailing Address Details
Address
4630 W Fremont Rd
City
Laveen
State
Arizona
Zip
85339-4277
Phone Number
858-386-6705
Fax Number
602-603-3981
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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