Organization
4 A HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON ANTHONY (OWNER)
(480) 200-2033
Entity
Organization
Contact information
Practice address
8330 N 19TH AVE APT 2095, PHOENIX, AZ 85021-5277
(480) 200-2033
Mailing address
8330 N 19TH AVE APT 2095, PHOENIX, AZ 85021-5277
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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