Organization
THE FAMILY HOUSE RESPITE CENTER, LLC
Active
Other names
The Family House Respite Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ORA GHOLSON (OWNER)
(623) 939-6262
Entity
Organization
Contact information
Practice address
6014 W AUGUSTA AVE, GLENDALE, AZ 85301-1234
(623) 939-6262
Mailing address
6014 W AUGUSTA AVE, GLENDALE, AZ 85301-1234
(623) 939-6262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
09/02/2021
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