Organization
KIRAN MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM M. YOUSEF (OWNER)
(602) 369-7057
Entity
Organization
Contact information
Practice address
2150 E FLINTLOCK WAY, CHANDLER, AZ 85286-1243
(602) 369-7057
Mailing address
2150 E FLINTLOCK WAY, CHANDLER, AZ 85286-1243
(602) 369-7057
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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