Organization
SHEA HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MAFTEAN (DIRECTOR)
(480) 266-2461
Entity
Organization
Contact information
Practice address
10435 N 40TH ST, PHOENIX, AZ 85028-4043
(480) 266-2461
Mailing address
10435 N 40TH ST, PHOENIX, AZ 85028-4043
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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