Organization
FAMILY CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SUE STORY BSW (OWNER/ADMINISTRATOR)
(480) 827-1575
Entity
Organization
Contact information
Practice address
1511 N GILBERT RD, MESA, AZ 85203-3902
(480) 827-1575
(480) 890-9092
Mailing address
1511 N GILBERT RD, MESA, AZ 85203-3902
(480) 827-1575
(480) 890-9092
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL0223H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427486
—
AZ
Enumeration date
03/12/2012
Last updated
03/12/2012
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