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Organization

MARTHA'S RESIDENTIAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAFFIATU S TUNIS (ADMINISTRATOR)
(480) 217-6996
Entity
Organization

Contact information

Practice address
7564 W CHARTER OAK RD, PEORIA, AZ 85381-5322
(623) 255-4262
(623) 321-6223
Mailing address
7564 W CHARTER OAK RD, PEORIA, AZ 85381-5322
(623) 255-4262
(623) 321-6223

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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