Organization
HEARN HOUSE 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHAR MOULAIY (OWNER/MANAGER)
(602) 736-0522
Entity
Organization
Contact information
Practice address
8793 W MARYLAND AVE, GLENDALE, AZ 85305-2469
(602) 736-0522
Mailing address
5520 N 71ST AVE, GLENDALE, AZ 85303-5324
(623) 215-7563
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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