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Organization

GRACEFUL HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STELLA W NG'ERA (ADMINISTRATOR)
(978) 831-3166
Entity
Organization

Contact information

Practice address
808 N 74TH ST, SCOTTSDALE, AZ 85257-4310
(978) 831-3166
Mailing address
808 N 74TH ST, SCOTTSDALE, AZ 85257-4310
(978) 831-3166

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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