Organization
EMMARIE BEHAVIORAL HOME CARE
Active
Organization
EMMARIE BEHAVIORAL HOME CARE
Active
Parent organization
EMMARIE BEHAVIORAL HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMMARIE BEHAVIORAL HOME CARE
Authorized official
MR. EMMANUEL ADE EPIE (OWNER)
(602) 481-9789
Entity
Organization
Contact information
Practice address
2926 W WAYLAND DR, PHOENIX, AZ 85041-4436
(602) 276-2204
(602) 268-1248
Mailing address
1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
(602) 481-9789
(602) 268-1248
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3103
AZ
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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