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A Heart Of Gold Home Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in San Tan Valley, Arizona
NPI 1508622960

A Heart Of Gold Home Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in San Tan Valley, AZ. A Heart Of Gold Home Llc practices in San Tan Valley, AZ. The NPI Number for A Heart Of Gold Home Llc is 1508622960 and holds a License No. (Arizona).

The current practice location address for A Heart Of Gold Home Llc is 1958 E Renegade Trl, San Tan Valley, AZ and can be reached out via phone at 928-250-9436.

Location: 1958 E Renegade Trl, San Tan Valley, AZ, 85143-4460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508622960
Provider Name
A Heart Of Gold Home Llc
Credential
Provider Entity Type
Organization
Address
1958 E Renegade Trl, San Tan Valley, AZ, 85143-4460
Phone Number
928-250-9436
Fax Number
Provider Enumeration Date
02/23/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1958 E Renegade Trl
City
San Tan Valley
State
Arizona
Zip
85143-4460
Phone Number
928-250-9436
Fax Number
person
Provider Business Mailing Address Details
Address
1958 E Renegade Trl
City
San Tan Valley
State
Arizona
Zip
85143-4460
Phone Number
928-250-9436
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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