Organization
RESCARE ARIZONA, INC.
Active
Other names
Heatherbrae House
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
12357 W HEATHERBRAE DR, AVONDALE, AZ 85392-4280
(623) 536-9505
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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