# BURNES WEST HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burnes West Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346471570
- **Authorized official:** JARED ANTHONY GRIFFIN (SPONSOR)
- **Authorized official phone:** (480) 857-0047

## Contact information

- **Practice address:** 15266 N 145TH LN, SURPRISE, AZ 85379-8519
- **Practice address phone:** (480) 857-0047
- **Mailing address:** 15266 N 145TH LN, SURPRISE, AZ 85379-8519
- **Mailing address phone:** (480) 857-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH3369 | AZ | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 08/05/2009