Organization
VALLEY HOME BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G MATOR JR. (OWNER)
(773) 766-1999
Entity
Organization
Contact information
Practice address
3142 W MARSHALL AVE, PHOENIX, AZ 85017-2420
(773) 766-1999
Mailing address
3142 W MARSHALL AVE, PHOENIX, AZ 85017-2420
(773) 766-1999
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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