Organization
JDS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADGERA K SINGH (ADMINISTRATOR)
(480) 577-6047
Entity
Organization
Contact information
Practice address
2743 W COTTONWOOD LN, PHOENIX, AZ 85045-2228
(480) 577-6047
Mailing address
2743 W COTTONWOOD LN, PHOENIX, AZ 85045-2228
(480) 577-6047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/15/2022
Last updated
01/09/2023
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