Organization
REHOBOTH BROAD LLC
Active
Other names
Rehoboth Broad llc
Organization subpart
No
Provider details
NPI number
Authorized official
BENITA FURAHA (OWNER)
(602) 748-9371
Entity
Organization
Contact information
Practice address
5017 S 108TH AVE, TOLLESON, AZ 85353-5779
(602) 748-9371
Mailing address
5017 S 108TH AVE, TOLLESON, AZ 85353-5779
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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