# MARIN HOUSE LLC

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

## Provider details

- **NPI number:** 1376478917
- **Authorized official:** DOUGLAS LANE MBA (HOUSE MANAGER)
- **Authorized official phone:** (602) 628-4127

## Contact information

- **Practice address:** 35918 W MARIN AVE, MARICOPA, AZ 85138-2533
- **Practice address phone:** (520) 350-1219
- **Mailing address:** 35918 W MARIN AVE, MARICOPA, AZ 85138-2533
- **Mailing address phone:** (520) 350-1219

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2026
- **Last updated:** 06/16/2026