Organization
GIFTED HEARTS GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREWS SAMUKA BUSINESS OWNER (CO-OWNER)
(928) 257-7819
Entity
Organization
Contact information
Practice address
45763 W DIRK ST, MARICOPA, AZ 85139-6611
(602) 303-8582
Mailing address
45763 W DIRK ST, MARICOPA, AZ 85139-6611
(602) 303-8582
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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