# EZEKIEL'S HOUSE SENIOR SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114675766
- **Authorized official:** SELENA AMERSON (OWNER)
- **Authorized official phone:** (602) 726-5311

## Contact information

- **Practice address:** 1904 W MOUNTAIN VIEW RD, PHOENIX, AZ 85021-2118
- **Practice address phone:** (602) 726-5311
- **Mailing address:** 1904 W MOUNTAIN VIEW RD, PHOENIX, AZ 85021-2118
- **Mailing address phone:** (602) 726-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2022
- **Last updated:** 03/14/2022