Organization
JNA HOMES OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA TIBECA MATTHEWS (MANAGER)
(682) 294-9632
Entity
Organization
Contact information
Practice address
1531 W MALDONADO RD, PHOENIX, AZ 85041-6642
(682) 294-9632
Mailing address
1531 W MALDONADO RD, PHOENIX, AZ 85041-6642
(682) 294-9632
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/24/2023
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