Organization
ORION HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DOW (COO)
(602) 466-3223
Entity
Organization
Contact information
Practice address
4635 W ASTER DR, GLENDALE, AZ 85304-2126
(602) 466-3223
(602) 441-3981
Mailing address
15396 N 83RD AVE STE A303, PEORIA, AZ 85381-5625
(602) 466-3223
(602) 441-3981
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5255
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5255
AZ DHS LICENSE
AZ
Enumeration date
10/31/2017
Last updated
10/31/2017
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