Organization
BOJ HEALTH CORP
Active
Other names
Boj Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAW BEDIAKO POKU ADMINISTRATOR (CHIEF FINANCIAL OFFICER)
(480) 250-7412
Entity
Organization
Contact information
Practice address
3924 E ANDRE AVE, GILBERT, AZ 85298-9161
(480) 250-7412
Mailing address
3924 E ANDRE AVE, GILBERT, AZ 85298-9161
(480) 250-7412
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/29/2021
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