Organization
MARY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM NAEUM NAEUM (OWNER AND CEO)
(623) 565-0010
Entity
Organization
Contact information
Practice address
7228 S 14TH ST, PHOENIX, AZ 85042-5681
(623) 565-0010
Mailing address
7228 S 14TH ST, PHOENIX, AZ 85042-5681
(480) 577-7777
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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