Organization
OHANA DEVELOPMENTAL HOMES LLC
Active
Organization
OHANA DEVELOPMENTAL HOMES LLC
Active
Other names
Ohana Developmental Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ABRAM (CHIEF FINANCIAL OFFICER)
(623) 680-6843
Entity
Organization
Contact information
Practice address
2710 W SOUTHERN AVE STE 106, PHOENIX, AZ 85041-4501
(602) 341-6990
Mailing address
2710 W SOUTHERN AVE STE 106, PHOENIX, AZ 85041-4501
(602) 341-6990
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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