Organization
HORIZON MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEKA HOSANG (CHIEF EXECUTIVE OFFICER)
(404) 398-4960
Entity
Organization
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(404) 398-4960
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(404) 398-4960
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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