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Organization
JEHOVANIS,S GROUP HOME LLC
Active
Organization
JEHOVANIS,S GROUP HOME LLC
Active
Other names
JEHOVANIS,S GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
YVONE BAHATI (OWNER)
(480) 501-0957
Entity
Organization
Contact information
Practice address
10921 W TAFT ST, PHOENIX, AZ 85037-1107
(480) 501-0957
Mailing address
10921 W TAFT ST, PHOENIX, AZ 85037-1107
(480) 501-0957
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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