Organization
EMMARIE BEHAVIORAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL ADE EPIE (OWNER)
(602) 481-9789
Entity
Organization
Contact information
Practice address
3031 W BURGESS LN, PHOENIX, AZ 85041-6201
(602) 441-2561
(602) 374-8639
Mailing address
1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
(602) 441-2561
(602) 374-8639
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH4564
AZ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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