Organization
PEARLS HEART TRANSITIONAL LIVING FACILITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY WASHINGTON (MEMBER)
(602) 975-6711
Entity
Organization
Contact information
Practice address
1112 N 59TH DR, PHOENIX, AZ 85043-1518
(602) 975-6711
Mailing address
1112 N 59TH DR, PHOENIX, AZ 85043-1518
(602) 975-6711
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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