Organization
VANWARD CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NOEL EARHART (CEO)
(815) 520-4926
Entity
Organization
Contact information
Practice address
3509 E CAMBRIDGE AVE, PHOENIX, AZ 85008-1219
(815) 520-4926
Mailing address
3509 E CAMBRIDGE AVE, PHOENIX, AZ 85008-1219
(815) 520-4926
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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