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Organization
ANGELS OF HOPE BEHAVIORAL HEALTH RESIDENTIAL AGENCY
Active
Organization
ANGELS OF HOPE BEHAVIORAL HEALTH RESIDENTIAL AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA DENISE JACKSON (OWNER/ADMINISTRATOR)
(480) 628-4614
Entity
Organization
Contact information
Practice address
483 W GASCON RD, QUEEN CREEK, AZ 85143-5467
(480) 628-4614
(480) 699-9761
Mailing address
483 W GASCON RD, QUEEN CREEK, AZ 85143-5467
(480) 628-4614
(480) 699-9761
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH3556
AZ
Other
Enumeration date
04/23/2010
Last updated
09/17/2010
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