Organization
ELK BRIDGE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOFFMEYER MBA (CEO)
(602) 448-2050
Entity
Organization
Contact information
Practice address
13251 W CHAPAROSA WAY, PEORIA, AZ 85383-7845
(602) 448-2050
Mailing address
13251 W CHAPAROSA WAY, PEORIA, AZ 85383-7845
(602) 448-2050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/30/2019
Last updated
06/28/2024
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