# REY ASH RESIDENTIAL FACILITY LLC

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

## Provider details

- **NPI number:** 1538681374
- **Authorized official:** MR. EMMANUEL ASHIAGBOR (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (602) 214-2279

## Contact information

- **Practice address:** 3765 W YELLOW PEAK DR, SAN TAN VALLEY, AZ 85142-3090
- **Practice address phone:** (602) 214-2279
- **Mailing address:** 3765 W YELLOW PEAK DR, SAN TAN VALLEY, AZ 85142-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH5210 | — | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/13/2017