Organization
ACOME HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MAFTEAN (DIRECTOR)
(480) 266-2461
Entity
Organization
Contact information
Practice address
4509 E ACOMA DR, PHOENIX, AZ 85032-4855
(480) 266-2461
Mailing address
4509 E ACOMA DR, PHOENIX, AZ 85032-4855
(480) 266-2461
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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