institution
Az Families Co-op Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gilbert, Arizona
NPI 1801545850

Az Families Co-op Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Tucson, AZ. Az Families Co-op Llc practices in Gilbert, AZ. The NPI Number for Az Families Co-op Llc is 1801545850 and holds a License No. (Arizona).

The current practice location address for Az Families Co-op Llc is 4391 East Marshall Ct, Gilbert, AZ and can be reached out via phone at 855-755-2932 and via fax at 855-755-2932. You can also correspond with Az Families Co-op Llc through the mailing address at 5425 E BROADWAY BLVD # 286, TUCSON, AZ - 85711-3704 (mailing address contact number: 855-755-2932).

Location: 4391 East Marshall Ct, Gilbert, AZ, 85711-3704
institution
Provider Profile Details
NPI Number
1801545850
Provider Name
Az Families Co-op Llc
Credential
Provider Entity Type
Organization
Address
4391 East Marshall Ct, Gilbert, AZ, 85711-3704
Phone Number
855-755-2932
Fax Number
855-755-2932
Provider Enumeration Date
03/18/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429547 01 AZ AHCCCS NUMBER
Q07201813808 01 AZ DIVISION OF DEVELOPMENTAL DISABILITIES DDD
institution
Provider Business Practice Location Address Details
Address
4391 East Marshall Ct
City
State
Zip
85297
Phone Number
855-755-2932
Fax Number
855-755-2932
person
Provider Business Mailing Address Details
Address
4391 East Marshall Ct
City
State
Zip
85297
Phone Number
855-755-2932
Fax Number
855-755-2932
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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