Organization
AMORE MANOR HOME A BEHAVIORAL FACILITY LLC
Active
Organization
AMORE MANOR HOME A BEHAVIORAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST ESTEBAN PHD, RN, BSN (CLINICAL DIRECTOR)
(480) 369-4338
Entity
Organization
Contact information
Practice address
2585 E HONEYSUCKLE PL, CHANDLER, AZ 85286-2452
(602) 295-9214
Mailing address
2585 E HONEYSUCKLE PL, CHANDLER, AZ 85286-2452
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
BH4110
AZ
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
BH4110
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4110
ARIZONA DEPARTMENT OF HEALTH SERVICES-OBHL
AZ
Enumeration date
10/31/2012
Last updated
10/31/2012
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