Organization
COMPREHENSIVE GROUP HOME LLC
Active
Organization
COMPREHENSIVE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESFAHUN WORKU OUTE (OWNER/MEMBER)
(602) 585-7081
Entity
Organization
Contact information
Practice address
4628 W MAGDALENA LN, LAVEEN, AZ 85339-2353
(602) 585-7091
Mailing address
4628 W MAGDALENA LN, LAVEEN, AZ 85339-2353
(602) 585-7091
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
03/24/2025
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