Organization
BREANNA HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO ARAYON (STATUTORY AGENT)
(480) 306-9478
Entity
Organization
Contact information
Practice address
5632 E FAIRBROOK ST, MESA, AZ 85205-5571
(480) 504-5780
(480) 463-1551
Mailing address
5632 E FAIRBROOK ST, MESA, AZ 85205-5571
(480) 306-9478
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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