Organization
INNERG HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIANA CORDER (ADMINISTRATOR)
(602) 672-2066
Entity
Organization
Contact information
Practice address
13053 E MARIGOLD LN, FLORENCE, AZ 85132-7811
(602) 672-2066
Mailing address
13053 E MARIGOLD LN, FLORENCE, AZ 85132-7811
(602) 672-2066
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
01/07/2025
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