Organization
INSPIRATION OF THE VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE CHANI (HCBS MANAGER)
(623) 696-6109
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE STE 1160, PHOENIX, AZ 85029-4734
(623) 696-0376
Mailing address
2432 W PEORIA AVE STE 1160, PHOENIX, AZ 85029-4734
(623) 696-0376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330824
—
AZ
Enumeration date
08/23/2022
Last updated
08/23/2022
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