Organization
JEHOVANIS,S GROUP HOME LLC
Active
Other names
JEHOVANIS,S GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
YVONE BAHATI (OWNER)
(480) 501-0957
Entity
Organization
Contact information
Practice address
10921 W TAFT ST, PHOENIX, AZ 85037-1107
(480) 501-0957
Mailing address
10921 W TAFT ST, PHOENIX, AZ 85037-1107
(480) 501-0957
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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