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Janelle Hultman
Assisted Living Facility (Mental Illness) in Surprise, Arizona
NPI 1952457392

Janelle Hultman is an Assisted Living Facility (Mental Illness) based in Surprise, AZ and is specialized in Assisted Living, Mental Illness. Janelle Hultman practices in Surprise, AZ. The NPI Number for Janelle Hultman is 1952457392 and holds a License No. BH-2695 (Arizona).

The current practice location address for Janelle Hultman is 13401 W Fargo Dr, Surprise, AZ and can be reached out via phone at 623-581-5687. You can also correspond with Janelle Hultman through the mailing address at 13401 W FARGO DR, SURPRISE, AZ - 85374-5205 (mailing address contact number: 623-581-5687).

Location: 13401 W Fargo Dr, Surprise, AZ, 85374-5205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952457392
Provider Name
Janelle Hultman
Credential
Provider Entity Type
Organization
Address
13401 W Fargo Dr, Surprise, AZ, 85374-5205
Phone Number
623-581-5687
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118632 05 AZ
BH-2695 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
13401 W Fargo Dr
City
Surprise
State
Arizona
Zip
85374-5205
Phone Number
623-581-5687
Fax Number
person
Provider Business Mailing Address Details
Address
13401 W Fargo Dr
City
Surprise
State
Arizona
Zip
85374-5205
Phone Number
623-581-5687
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
BH-2695 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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