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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