Organization
HOUSE OF HOPE ELOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASAYO IYABODE OLADOKUN-DYBOWSKI (ADMINISTRATOR)
(520) 421-1157
Entity
Organization
Contact information
Practice address
406 W 11TH ST, ELOY, AZ 85131-1810
(520) 421-1157
(520) 421-2877
Mailing address
115 E 1ST ST, CASA GRANDE, AZ 85122-5201
(520) 421-1157
(520) 421-2877
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
BH4846
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
07/03/2021
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