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Organization

EMMARIE BEHAVIORAL HOME CARE. LLC

Active
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Organization

EMMARIE BEHAVIORAL HOME CARE. LLC

Active
Parent organization
EMMARIE BEHAVIORAL HOME CARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EMMARIE BEHAVIORAL HOME CARE, LLC
Authorized official
MR. EMMANUEL ADE EPIE (OWNER)
(602) 481-9789
Entity
Organization

Contact information

Practice address
5748 W HIDALGO AVE, LAVEEN, AZ 85339-5157
(602) 237-8045
(602) 237-9975
Mailing address
1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
(602) 237-8045
(602) 237-9975

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH4831
AZ

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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