Organization
EMMARIE BEHAVIORAL HOME CARE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ADE EPIE (CEO)
(623) 936-0457
Entity
Organization
Contact information
Practice address
7204 W PUEBLO AVE, PHOENIX, AZ 85043-2037
(623) 936-0457
(602) 583-7082
Mailing address
1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
(602) 481-9789
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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