Organization
TRINITY RECOVERY HOME LLC
Active
Parent organization
TRINITY RECOVERY HOME LLC
Other names
Guest House Recovery Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY RECOVERY HOME LLC
Authorized official
SYDNEY DAVIS (SURROGATE)
(602) 837-6800
Entity
Organization
Contact information
Practice address
4374 N 153RD DR, GOODYEAR, AZ 85395-8392
(623) 295-2323
Mailing address
4374 N 153RD DR, GOODYEAR, AZ 85395-8392
(623) 295-2323
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-1549738
—
AZ
Enumeration date
07/08/2021
Last updated
01/14/2024
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