Organization
SCOTT GROUP 010 LLC
Active
Parent organization
SCOTT GROUP 010 LLC
Other names
Heroic Housing
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT GROUP 010 LLC
Authorized official
GARY A SCOTT PASTOR (DIRECTOR)
(480) 613-7677
Entity
Organization
Contact information
Practice address
6551 S 43RD LN, LAVEEN, AZ 85339-6246
(480) 613-7677
Mailing address
15411 W WADDELL RD STE 102-128, SURPRISE, AZ 85379-5170
(480) 613-7677
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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