Organization
ARIZONA HOMES OF MIRACLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISAAK MOHAMUD (OWNER)
(612) 306-0639
Entity
Organization
Contact information
Practice address
3205 S 63RD LN, PHOENIX, AZ 85043-1958
(623) 440-2377
Mailing address
3205 S 63RD LN, PHOENIX, AZ 85043-1958
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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