Organization
ARIZONA HOMES OF MIRACLES LLC
Active
Parent organization
ARIZONA HOMES OF MIRACLES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA HOMES OF MIRACLES, LLC
Authorized official
ABDISAAK MOHAMUD (OWNER)
(612) 306-0639
Entity
Organization
Contact information
Practice address
2534 W SAINT CATHERINE AVE, PHOENIX, AZ 85041-5354
(602) 358-8165
Mailing address
3205 S 63RD LN, PHOENIX, AZ 85043-1958
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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