# BREANNA HOMES, LLC

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

## Provider details

- **NPI number:** 1366909756
- **Authorized official:** ROBERTO ARAYON (STATUTORY AGENT)
- **Authorized official phone:** (480) 306-9478

## Contact information

- **Practice address:** 5632 E FAIRBROOK ST, MESA, AZ 85205-5571
- **Practice address phone:** (480) 504-5780
- **Practice address fax:** (480) 463-1551
- **Mailing address:** 5632 E FAIRBROOK ST, MESA, AZ 85205-5571
- **Mailing address phone:** (480) 306-9478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2019
- **Last updated:** 02/21/2019