Organization
PRESTIGE GROUP HOMES
Active
Organization
PRESTIGE GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIL ANOUTI (OWNER)
(520) 461-9155
Entity
Organization
Contact information
Practice address
28001 N 31ST AVE, PHOENIX, AZ 85083
(520) 461-9155
Mailing address
28001 N 31ST AVE, PHOENIX, AZ 85083-8603
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
BH5146
AZ
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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