# INSPIRATIONS GROUP HOME, LLC

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

## Provider details

- **NPI number:** 1659608123
- **Authorized official:** MARK HALLBACK (MANAGING DIRECTOR / OWNER)
- **Authorized official phone:** (602) 794-7695

## Contact information

- **Practice address:** 7113 S 7TH LN, PHOENIX, AZ 85041-6766
- **Practice address phone:** (602) 323-2601
- **Practice address fax:** (602) 476-6980
- **Mailing address:** 7113 S 7TH LN, PHOENIX, AZ 85041-6766
- **Mailing address phone:** (602) 323-2601
- **Mailing address fax:** (602) 476-6980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 445542 | AZ | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 12/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 445542 | STATE OF ARIZONA DIVISION OF DEVELOPMENTAL DISABILITIES / AHCCCS | AZ |