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Loloma House Llc
Mental Illness Community Based Residential Treatment Facility in Peoria, Arizona
NPI 1942743711

Loloma House Llc is a Mental Illness Community Based Residential Treatment Facility based in Peoria, AZ. Loloma House Llc practices in Peoria, AZ. The NPI Number for Loloma House Llc is 1942743711 and holds a License No. BH4687 (Arizona).

The current practice location address for Loloma House Llc is 15259 N 67Th Dr, Peoria, AZ and can be reached out via phone at 623-418-6657 and via fax at 623-322-8664.

Location: 15259 N 67Th Dr, Peoria, AZ, 85381-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942743711
Provider Name
Loloma House Llc
Credential
Provider Entity Type
Organization
Address
15259 N 67Th Dr, Peoria, AZ, 85381-4502
Phone Number
623-418-6657
Fax Number
623-322-8664
Provider Enumeration Date
11/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15259 N 67Th Dr
City
Peoria
State
Arizona
Zip
85381-4502
Phone Number
623-418-6657
Fax Number
623-322-8664
person
Provider Business Mailing Address Details
Address
15259 N 67Th Dr
City
Peoria
State
Arizona
Zip
85381-4502
Phone Number
623-418-6657
Fax Number
623-322-8664
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH4687 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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