Organization
HELPING HEARTS RESIDENTIAL FACILITIES I, LLC
Active
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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