# EMMARIE BEHAVIORAL HOME CARE

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

## Provider details

- **NPI number:** 1801289178
- **Authorized official:** MR. EMMANUEL ADE EPIE (OWNER)
- **Authorized official phone:** (602) 481-9789

## Contact information

- **Practice address:** 3031 W BURGESS LN, PHOENIX, AZ 85041-6201
- **Practice address phone:** (602) 441-2561
- **Practice address fax:** (602) 374-8639
- **Mailing address:** 1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
- **Mailing address phone:** (602) 441-2561
- **Mailing address fax:** (602) 374-8639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH4564 | AZ | Yes |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 03/11/2015
