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Martha's Residential Care Llc
Mental Illness Community Based Residential Treatment Facility in Peoria, Arizona
NPI 1962818187

Martha's Residential Care Llc is a Mental Illness Community Based Residential Treatment Facility based in Buckeye, AZ. Martha's Residential Care Llc practices in Peoria, AZ. The NPI Number for Martha's Residential Care Llc is 1962818187 and holds a License No. BH4469 (Arizona).

The current practice location address for Martha's Residential Care Llc is 8572 W Palo Verde Ave, Peoria, AZ and can be reached out via phone at 480-217-6996 and via fax at 480-452-0243.

Location: 8572 W Palo Verde Ave, Peoria, AZ, 85326-8734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962818187
Provider Name
Martha's Residential Care Llc
Credential
Provider Entity Type
Organization
Address
8572 W Palo Verde Ave, Peoria, AZ, 85326-8734
Phone Number
480-217-6996
Fax Number
480-452-0243
Provider Enumeration Date
07/08/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6971 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
8572 W Palo Verde Ave
City
Peoria
State
Arizona
Zip
85345-5354
Phone Number
480-217-6996
Fax Number
480-452-0243
person
Provider Business Mailing Address Details
Address
8572 W Palo Verde Ave
City
Peoria
State
Arizona
Zip
85345-5354
Phone Number
480-217-6996
Fax Number
480-452-0243
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH4469 (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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