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Organization
MARIN HOUSE LLC
Active
Organization
MARIN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LANE MBA (HOUSE MANAGER)
(602) 628-4127
Entity
Organization
Contact information
Practice address
35918 W MARIN AVE, MARICOPA, AZ 85138-2533
(520) 350-1219
Mailing address
35918 W MARIN AVE, MARICOPA, AZ 85138-2533
(520) 350-1219
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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