# HEARN HOUSE 2 LLC

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

## Provider details

- **NPI number:** 1598302028
- **Authorized official:** SAHAR MOULAIY (OWNER/MANAGER)
- **Authorized official phone:** (602) 736-0522

## Contact information

- **Practice address:** 8793 W MARYLAND AVE, GLENDALE, AZ 85305-2469
- **Practice address phone:** (602) 736-0522
- **Mailing address:** 5520 N 71ST AVE, GLENDALE, AZ 85303-5324
- **Mailing address phone:** (623) 215-7563

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2019
- **Last updated:** 12/03/2019