Organization
JOECHRIS HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NJUGUNA (ADMINISTRATOR)
(480) 406-2545
Entity
Organization
Contact information
Practice address
44349 W BAILEY DR, MARICOPA, AZ 85138-6406
(520) 413-0905
Mailing address
44349 W BAILEY DR, MARICOPA, AZ 85138-6406
(520) 413-0905
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
LP048680
AZ
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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