institution
Az Interact Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Glendale, Arizona
NPI 1427502947

Az Interact Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Phoenix, AZ. Az Interact Llc practices in Glendale, AZ. The NPI Number for Az Interact Llc is 1427502947 and holds a License No. BH4514 (Arizona).

The current practice location address for Az Interact Llc is 6055 West Caribe Lane, Glendale, AZ and can be reached out via phone at 602-487-8806. You can also correspond with Az Interact Llc through the mailing address at 2325 W DESPERADO WAY, PHOENIX, AZ - 85085-5777 (mailing address contact number: 602-487-8806).

Location: 6055 West Caribe Lane, Glendale, AZ, 85085-5777
institution
Provider Profile Details
NPI Number
1427502947
Provider Name
Az Interact Llc
Credential
Provider Entity Type
Organization
Address
6055 West Caribe Lane, Glendale, AZ, 85085-5777
Phone Number
602-487-8806
Fax Number
Provider Enumeration Date
08/12/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154781037 05 AZ
1760885347 05 AZ
1518327493 05 AZ
institution
Provider Business Practice Location Address Details
Address
6055 West Caribe Lane
City
State
Zip
85306
Phone Number
602-487-8806
Fax Number
person
Provider Business Mailing Address Details
Address
6055 West Caribe Lane
City
State
Zip
85306
Phone Number
602-487-8806
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
BH4514 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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