Organization
BEKA'S COMFORT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERUBO HAPPINESS KINARO (ADMINISTRATOR/MANAGER)
(410) 660-5117
Entity
Organization
Contact information
Practice address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(623) 242-7752
Mailing address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(623) 242-7752
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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