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Organization

MERCY4CARE BEHAVIORAL HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALIA H ABDULLE (MEMBER/OWNER)
(602) 668-8988
Entity
Organization

Contact information

Practice address
5416 W BEAUTIFUL LN, LAVEEN, AZ 85339-7103
(602) 668-8988
Mailing address
5416 W BEAUTIFUL LN, LAVEEN, AZ 85339-7103
(602) 668-8988

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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