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Organization

IBHA HOME CARE SOLUTIONS

Active
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Organization

IBHA HOME CARE SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TARAS COLLUM SR. (DIRECTOR)
(702) 235-5650
Entity
Organization

Contact information

Practice address
2016 E DANBURY RD, PHOENIX, AZ 85022-2298
(602) 795-8336
(619) 374-7150
Mailing address
2016 E DANBURY RD, PHOENIX, AZ 85022-2298
(602) 795-8336
(619) 374-7150

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-3341
AZ

Other

Enumeration date
06/29/2009
Last updated
06/29/2009
About Stedi
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