Organization
BARAKA HOUSE LLC
Active
Other names
Baraka House VI
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OBIDIKE OKORIE (PRESIDENT & CEO)
(602) 441-2388
Entity
Organization
Contact information
Practice address
4149 W CARON ST, PHOENIX, AZ 85051-3230
(602) 441-2388
(800) 642-8008
Mailing address
PO BOX 72657, PHOENIX, AZ 85050-1028
(602) 441-2388
(800) 642-8008
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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