Organization
NOBLE HOMES
Active
Organization
NOBLE HOMES
Active
Other names
NOBLEHOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NUREIN SHAIBU (ADMINISTRATOR)
(646) 944-9582
Entity
Organization
Contact information
Practice address
40353 N PARISI PL, SAN TAN VALLEY, AZ 85140-6825
(480) 508-1447
(480) 508-1448
Mailing address
1342 W PARK AVE, CHANDLER, AZ 85224-8663
(646) 944-9582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH6193
—
AZ
Enumeration date
04/19/2020
Last updated
04/19/2020
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