Organization
HELPING HEARTS RESIDENTIAL FACILITIES I, LLC
Active
Other names
Helping Hearts Lane House
Organization subpart
No
Provider details
NPI number
Authorized official
YNEZ C CROSS (ADMINISTRATOR)
(602) 622-1290
Entity
Organization
Contact information
Practice address
3834 W LANE AVE, PHOENIX, AZ 85051-6475
(602) 975-6152
(602) 926-8036
Mailing address
1500 E THOMAS RD STE 104, PHOENIX, AZ 85014-5748
(602) 622-1290
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5985
STATE OF ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
12/02/2019
Last updated
01/16/2020
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