Organization
GEOBENA HOME CARE SERVICES LLC
Active
Organization
GEOBENA HOME CARE SERVICES LLC
Active
Other names
Geobena Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PREMPEH (OWNER)
(602) 810-6976
Entity
Organization
Contact information
Practice address
4512 W DONNER DR, LAVEEN, AZ 85339-4262
(602) 810-6976
Mailing address
4512 W DONNER DR, LAVEEN, AZ 85339-4262
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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