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Organization
BOJ HEALTH CORP
Active
Organization
BOJ HEALTH CORP
Active
Other names
Boj Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAW BEDIAKO POKU ADMINISTRATOR (CHIEF FINANCIAL OFFICER)
(480) 250-7412
Entity
Organization
Contact information
Practice address
3924 E ANDRE AVE, GILBERT, AZ 85298-9161
(480) 250-7412
Mailing address
3924 E ANDRE AVE, GILBERT, AZ 85298-9161
(480) 250-7412
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/29/2021
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