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Family Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Avondale, Arizona
NPI 1396520011

Family Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Glendale, AZ. Family Home Llc practices in Avondale, AZ. The NPI Number for Family Home Llc is 1396520011 and holds a License No. (Arizona).

The current practice location address for Family Home Llc is 10423 W Edgemont Dr, Avondale, AZ and can be reached out via phone at 480-358-7850. You can also correspond with Family Home Llc through the mailing address at 6035 W KRISTAL WAY, GLENDALE, AZ - 85308-7802 (mailing address contact number: 480-358-7850).

Location: 10423 W Edgemont Dr, Avondale, AZ, 85308-7802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396520011
Provider Name
Family Home Llc
Credential
Provider Entity Type
Organization
Address
10423 W Edgemont Dr, Avondale, AZ, 85308-7802
Phone Number
480-358-7850
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10423 W Edgemont Dr
City
Avondale
State
Arizona
Zip
85392-4652
Phone Number
480-358-7850
Fax Number
person
Provider Business Mailing Address Details
Address
10423 W Edgemont Dr
City
Avondale
State
Arizona
Zip
85392-4652
Phone Number
480-358-7850
Fax Number
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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