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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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