Organization
MARY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM NAEUM NAEUM (OWNER)
(623) 565-0010
Entity
Organization
Contact information
Practice address
8025 S 47TH LN, LAVEEN, AZ 85339-2393
(480) 577-7777
Mailing address
348 S PARK GROVE LN, GILBERT, AZ 85296-1731
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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