# HOUSE OF SHELTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOUSE OF SHELTER INCORPORATED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144834318
- **Legal business name:** HOUSE OF SHELTER INCORPORATED
- **Authorized official:** FLOYD H JONES MPA (CEO/PROVIDER)
- **Authorized official phone:** (623) 221-1579

## Contact information

- **Practice address:** 15757 W MORELAND ST, GOODYEAR, AZ 85338-4161
- **Practice address phone:** (623) 221-1579
- **Mailing address:** 15757 W MORELAND ST, GOODYEAR, AZ 85338-4161
- **Mailing address phone:** (623) 221-1579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 09/03/2020