Organization
KHAN CARE INTERNATIONAL
Active
Other names
Sunset at South Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ISA KHAN (OWNER)
(602) 633-5573
Entity
Organization
Contact information
Practice address
403 E MILADA DR, PHOENIX, AZ 85042-7676
(602) 633-5573
Mailing address
PO BOX 90014, PHOENIX, AZ 85066-0014
(602) 633-5573
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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